Leslie Waibel

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

.07668 Issued in OH

Practice address

730 Millcrest Dr
Marysville, OH 43040-1833

Phone

(937) 642-1026

NPI assigned

Feb 10, 2015

Last updated

Feb 10, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1073904173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 PICKRELLTOWN RD",
            "city": "WEST LIBERTY",
            "state": "OH",
            "postal_code": "433579301",
            "telephone_number": "937-844-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MILLCREST DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401833",
            "telephone_number": "937-642-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIBEL",
        "first_name": "LESLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": ".07668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicari Chiropractic, LLC
• Jason Vicari, DC
• Lewis M Vichinsky, DPM
• Vision Source Marysville
• Elizabeth Vleugels, MSW, LSW
• Mary Ellen Waitkus, LISW-S
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1595)
• Wal-Mart Stores East, LP (Vision Center 30-1595)
• Walgreen Co (Walgreens #11966)
• Walgreen Co. (Walgreens #11578)

• Physical Therapy Assistant in Marysville, OH
• Providers in Marysville, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.