Leslie Spalding Murillo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-021260 Issued in IL

Practice address

1325 W Devon Ave
Chicago, IL 60660-1329

Phone

(773) 360-5514

NPI assigned

Mar 2, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Axis Physical Therapy and Rehab IncGroup PAC ID 6507886371, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Axis Physical Therapy & Rehab Inc

  • Physical Therapist
  • Springfield, OR
  • NPI 1144382904
  Medicare reassignment Care Compare group NPD
• Staszak Physical Therapy

  • Physical Therapist
  • Eugene, OR
  • NPI 1770884652
  Medicare reassignment NPD

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1063804938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 WILLAGILLESPIE RD",
            "address_2": "STE 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016711",
            "telephone_number": "541-636-4471",
            "fax_number": "541-357-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601329",
            "telephone_number": "773-360-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPALDING MURILLO",
        "first_name": "LESLIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-02",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-021260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Spada
• Sarah Spadoni
• Crystal Spaeth, APRN, FNP-BC
• Mario Spaggiari, M.D.
• Clare Spahr
• Molly Spalding, MD
• George Andrew Spalek, LCSW
• Annaliese Rosamunde Spalink, L.C.S.W
• Marilyn Kay Spalla, M.ED.
• Kristin Corrado Spalo, PT

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.