Individual provider Active NPI

Margaret L Leise, PT

  • Physical Therapist
  • Manhattan, IL
National Provider Identifier
1053404368
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070012199 Issued in IL
Practice address
24520 S US Highway 52 Unit 2
Manhattan, IL 60442-7784
Phone
(815) 242-0878
Fax
(779) 379-1300
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070012199 IL Primary

Addresses

Primary practice location

24520 S US Highway 52 Unit 2
Manhattan, IL 60442-7784

Mailing address

24520 S US Highway 52 Unit 2
Manhattan, IL 60442-7784
Phone (815) 242-0878

Other identifiers 2

IdentifierTypeStateIssuer
P00931599OtherILMEDICARE RAILROAD
P00852545OtherILMEDICARE RR

Other names 1

  • Margaret L Basden Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041213000173 IL Practitioner - Physical Therapist in Private Practice 2668439639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

24520 S US RT
Suite 52
Manhattan, IL 60442-8553
Phone (815) 242-0878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prism Physical Therapy & Performance Training PLLC Physical Therapist CurrentSince Jul 20, 2024 Accepting new patients
Athletic and Therapeutic Institute of Joliet LLC Physical Therapist Past Accepting new patients
Freedom Family Chiropractic PC Past Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist Past Accepting new patients
Athletic &Therapeutic Institute of Naperville, LLC Physical Therapist Past Accepting new patients

Locations

24520 S US Highway 52
Unit 2
Manhattan, IL 60442
Phone (815) 242-0878

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1053404368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24520 S US HIGHWAY 52 UNIT 2",
            "city": "MANHATTAN",
            "state": "IL",
            "postal_code": "604427784",
            "telephone_number": "815-242-0878",
            "fax_number": "779-379-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24520 S US HIGHWAY 52 UNIT 2",
            "city": "MANHATTAN",
            "state": "IL",
            "postal_code": "604427784",
            "telephone_number": "815-242-0878",
            "fax_number": "779-379-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISE",
        "first_name": "MARGARET",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070012199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00931599",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00852545",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "BASDEN",
            "middle_name": "L",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manhattan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.