Leslie Catherine Fuentes, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2163 Issued in OK

Practice address

7707 W Britton Rd
Oklahoma City, OK 73132-1512

Phone

(405) 720-7200

NPI assigned

Aug 9, 2023

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 names 1

• Leslie Kellogg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1093498776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 COLES CREEK LN",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992360",
            "telephone_number": "405-431-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 W BRITTON RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731321512",
            "telephone_number": "405-720-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "LESLIE",
        "middle_name": "CATHERINE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "KELLOGG",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Macey Lynn Fuchs, M.S. CCC-SLP
• William Fuchs, APRN, CNP
• Deirdre Colleen Fudge, M.ED. CCC-SLP
• Jessenia Fuentes Vasquez
• Gabriel Fuentes, MOM
• Susan Elaine Fugate, PHARM.D.
• Devin Fugett, APRN-C
• Jenna Arin Fulcher, RN
• Fulcrum Clinic LLC
• Shana Fulkerson

• Physical Therapy Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.