Lesley Anne Turner, PT, DPT

Individual provider Active NPI Orthopedic Physical Therapist · Palmyra, MO

NPI 1063648798 · NPPES record last updated Feb 4, 2016

Key facts

NPI
1063648798
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Physical Therapist 2251X0800X
License
2009014228 (MO)
Practice address
1219 S Main St
# 208
Palmyra, MO 63461-1943
Phone
(573) 769-6166
Fax
(573) 769-2356
NPI assigned
Jun 9, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Hannibal Regional Hospital LLC (22 clinicians)

Practice addresses (Care Compare)

821 Hwy 24 and 36 E
Monroe City, MO 63456-1470
Phone (573) 735-4113

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090702000320 MO Practitioner - Physical Therapist in Private Practice 8224189287 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2009014228MOMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Hannibal Regional Hospital, LLC Current
since Feb 1, 2023
Accepting new patients
Advance Hannibal Regional Hospital LLC Orthopedic Current
since Feb 1, 2023
Accepting new patients

Locations

160 Progress Rd
#111
Hannibal, MO 63401

188 Medical Dr
#A
Hannibal, MO 63401
Phone (573) 406-0576

1811 S Main St
Palmyra, MO 63461
Phone (573) 769-2231

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2009014228 MO Yes

Addresses

Primary practice location

1219 S Main St
# 208
Palmyra, MO 63461-1943

Mailing address

961 County Road 305
Taylor, MO 63471-2152
Phone (217) 899-1140

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 4, 2016.

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1063648798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 COUNTY ROAD 305",
            "city": "TAYLOR",
            "state": "MO",
            "postal_code": "634712152",
            "telephone_number": "217-899-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 S MAIN ST",
            "address_2": "# 208",
            "city": "PALMYRA",
            "state": "MO",
            "postal_code": "634611943",
            "telephone_number": "573-769-6166",
            "fax_number": "573-769-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "LESLEY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MO",
            "license": "2009014228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmyra, MO

All providers in Palmyra, MO · Orthopedic Physical Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.