Leslie Ann Wallop, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17007 Issued in MD

Practice address

2661 Riva Rd
BLDG 600, Suite 601
Annapolis, MD 21401-7353

Phone

(410) 266-6626

Fax

(410) 266-3026

NPI assigned

Sep 12, 2006

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)

Enrolled

Practice roles

Locations

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.

• Annapolis Family Physical Therapy, Inc

  • Physical Therapist
  • Annapolis, MD
  • NPI 1104432731
  NPD

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124122601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 INDIAN SPRING CT",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216663213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 RIVA RD",
            "address_2": "BLDG 600, SUITE 601",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017353",
            "telephone_number": "410-266-6626",
            "fax_number": "410-266-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLOP",
        "first_name": "LESLIE ANN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Wallace
• Scott Andrew Wallace, M.D.
• Marissa I Wallie, D.C.
• John Douglass Wallop
• John Douglass Wallop II, DPT
• A Terry Walman, MD
• Chantelle Marie Walsh
• Walter C Lockhart
• Mary Elizabeth Walterhoefer, M.D.
• Robert Waltz, M.D.

• Physical Therapist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.