Active NPI
Kevin T Lesuer, PT
- Physical Therapist
- Chardon, OH
National Provider Identifier
1104875780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009428
- Practice address
- 11850 Mayfield Rd Ste 1
Chardon, OH 44024-8371 - Phone
- (440) 286-1007
- NPI assigned
- May 9, 2006
- Sex
- Male
- 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 | PT009428 | OH | Primary |
Addresses
Primary practice location
11850 Mayfield Rd Ste 1
Chardon, OH 44024-8371
Mailing address
PO Box 987
Middlefield, OH 44062-0987
Phone (440) 632-1007
Other practice location 1
14950 Springdale Ave
Middlefield, OH 44062-9644
Phone (440) 632-1007
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 |
|---|---|---|---|
| PT009428 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youngstown Ohio Physician Services Company LLC | Past | Accepting new patients | |
| Steward Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Youngstown, OH
- NPI 1013223312
-
- Specialist
- Brighton, MA
- NPI 1356654495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1104875780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 987",
"city": "MIDDLEFIELD",
"state": "OH",
"postal_code": "440620987",
"telephone_number": "440-632-1007",
"fax_number": "440-574-7254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11850 MAYFIELD RD STE 1",
"city": "CHARDON",
"state": "OH",
"postal_code": "440248371",
"telephone_number": "440-286-1007"
}
],
"practiceLocations": [
{
"address_1": "14950 Springdale Ave",
"address_purpose": "LOCATION",
"city": "Middlefield",
"state": "OH",
"postal_code": "440629644",
"country_code": "US",
"telephone_number": "440-632-1007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LESUER",
"first_name": "KEVIN",
"middle_name": "T",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT009428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.