Leslea Ann Shamp, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PTH1047 Issued in AL

Practice address

2204 Lakeshore Dr
Ste 150
Homewood, AL 35209-6729

Phone

(205) 423-9502

Fax

(205) 423-9504

NPI assigned

May 30, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Over the Mountain Rehab, Inc

  • Physical Therapist
  • Homewood, AL
  • NPI 1376610865
  NPD
• Over the Mountain Rehab, Inc

  • Occupational Therapist
  • Birmingham, AL
  • NPI 1306111307
  NPD (past)

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1073516506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 LAKESHORE DR",
            "address_2": "STE 150",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096729",
            "telephone_number": "205-423-9502",
            "fax_number": "205-423-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 LAKESHORE DR",
            "address_2": "STE 150",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096729",
            "telephone_number": "205-423-9502",
            "fax_number": "205-423-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMP",
        "first_name": "LESLEA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-30",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "PTH1047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "51515971",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7333487",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sees Group Alabama, LLC
• Seiler Skin Cosmetic Laser and Aesthetics Center
• Warren B Seiler III, MD
• Elizabeth Simmons Sellers, RDN
• Oksana Senyk, M.D., PH.D.
• Meredith Sharpton, PAC
• Courtney Leann Shiflet
• Stacy Lynn Siegel, M.D.
• Catherine Anne Sigler-Allen, LCSW
• Signature Health PC

• Specialist in Homewood, AL
• Providers in Homewood, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.