Active NPI
Leslie Wahl Spencer, DPT
- Physical Therapist
- Greenfield, WI
National Provider Identifier
1104026038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10878-024
- Practice address
- 4861 S 27TH St
Greenfield, WI 53221-2603 - Phone
- (414) 325-3325
- NPI assigned
- Jul 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10878-024 | WI | Primary |
Addresses
Primary practice location
4861 S 27TH St
Greenfield, WI 53221-2603
Mailing address
7841 W Center St
Apt 3
Milwaukee, WI 53222-4945
Phone (414) 258-8830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10878-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Sheboygan, WI
- NPI 1558956722
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1104026038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7841 W CENTER ST",
"address_2": "APT 3",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532224945",
"telephone_number": "414-258-8830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4861 S 27TH ST",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532212603",
"telephone_number": "414-325-3325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "LESLIE",
"middle_name": "WAHL",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10878-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, WI
- Jacqueline C Southard, DPT
- Southpointe Care and Rehab Center LLC
- Nancy A Spangler, PA-C
- Specialized Wound Management Great Lakes, LLC
- Antoinette Spector, PT
- Steven M Sperry, MD
- Sue E Spivey, L.P.N.
- Gerald F Splittgerber, MD
- Sports Medicine & Orthopedic Center, S.C.
- SSC Greenfield Operating Company LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.