Active NPI
Leslie Cole Landen, P. T.
- Physical Therapist
- Kennesaw, GA
National Provider Identifier
1043372741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3330
- Practice address
- 2015 Vaughn Rd NW Ste 130
Kennesaw, GA 30144-7851 - Phone
- (770) 425-6661
- NPI assigned
- Dec 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3330 | GA | Primary |
Addresses
Primary practice location
2015 Vaughn Rd NW Ste 130
Kennesaw, GA 30144-7851
Mailing address
4556 Candytuft Way NW
Acworth, GA 30102-8155
Phone (770) 592-3941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3330 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapy Consultants,Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Kennesaw, GA
- NPI 1932275146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043372741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4556 CANDYTUFT WAY NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301028155",
"telephone_number": "770-592-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 VAUGHN RD NW STE 130",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301447851",
"telephone_number": "770-425-6661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDEN",
"first_name": "LESLIE",
"middle_name": "COLE",
"credential": "P. T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "3330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.