Active NPI
Monica Rae Lesslie, DPT
- Physical Therapist
- Westlake Village, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 36557
- Practice address
- 1800 Bridgegate St Ste 105
Westlake Village, CA 91361-1454 - Phone
- (315) 246-5791
- NPI assigned
- May 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 36557 | CA | Primary |
| Physical Therapist | 225100000X | 031019 | NY |
Addresses
Primary practice location
1800 Bridgegate St Ste 105
Westlake Village, CA 91361-1454
Mailing address
1800 Bridgegate St Ste 105
Westlake Village, CA 91361-1454
Phone (315) 246-5791
Other practice location 1
325 Rolling Oaks Dr Ste 210
Thousand Oaks, CA 91361-1088
Phone (805) 446-3141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
325 Rolling Oaks Dr
Suite 210
Thousand Oaks, CA 91361-1088
Phone (805) 446-3141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36557 | CA | MD | Clinical Social Worker |
| 031019 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Custom P.T., a Physical Therapy Corp | Physical Therapist | Current | Accepting new patients |
Locations
325 Rolling Oaks Dr
Ste 210
Thousand Oaks, CA 91361
Phone (805) 446-3141
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.
-
- Orthopedic Physical Therapist
- Thousand Oaks, CA
- NPI 1639107626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1104144674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 BRIDGEGATE ST STE 105",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913611454",
"telephone_number": "315-246-5791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 BRIDGEGATE ST STE 105",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913611454",
"telephone_number": "315-246-5791"
}
],
"practiceLocations": [
{
"address_1": "325 Rolling Oaks Dr Ste 210",
"address_purpose": "LOCATION",
"city": "Thousand Oaks",
"state": "CA",
"postal_code": "913611088",
"country_code": "US",
"telephone_number": "805-446-3141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LESSLIE",
"first_name": "MONICA",
"middle_name": "RAE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-09",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "36557",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "031019",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westlake Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.