Active NPI
Lesa Wade, PT
- Physical Therapist
- Sun City, AZ
National Provider Identifier
1124847512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7160
- Practice address
- 12053 W Salter Dr
Sun City, AZ 85373-5667 - Phone
- (623) 556-3626
- NPI assigned
- Oct 3, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7160 | AZ | Primary |
Addresses
Primary practice location
12053 W Salter Dr
Sun City, AZ 85373-5667
Mailing address
12053 W Salter Dr
Sun City, AZ 85373-5667
Phone (623) 556-3626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241009004404 | AZ | Practitioner - Physical Therapist in Private Practice | 1658803044 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Empowerme Rehabilitation LLC
Practice addresses (Care Compare)
9000 E San Victor Dr
Scottsdale, AZ 85258-5051
Phone (623) 299-7784
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7160 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 16
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.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1144954074
AZ, Physical Therapist
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Appleton, WI
- NPI 1134844848
-
- Rehabilitation Clinic/Center
- Fort Wayne, IN
- NPI 1154017481
-
- Multi-Specialty Clinic/Center
- Little Rock, AR
- NPI 1225766447
-
- Multi-Specialty Clinic/Center
- Dallas, TX
- NPI 1255900296
-
- Multi-Specialty Clinic/Center
- Charlotte, NC
- NPI 1285382440
-
- Rehabilitation Clinic/Center
- Williamsburg, VA
- NPI 1336872365
-
- Multi-Specialty Clinic/Center
- Baton Rouge, LA
- NPI 1407586555
-
- Multi-Specialty Clinic/Center
- Mount Juliet, TN
- NPI 1467023861
-
- Rehabilitation Clinic/Center
- Dyer, IN
- NPI 1497441729
-
- Multi-Specialty Clinic/Center
- Wilsonville, OR
- NPI 1598495426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1124847512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12053 W SALTER DR",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853735667",
"telephone_number": "623-556-3626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12053 W SALTER DR",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853735667",
"telephone_number": "623-556-3626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "LESA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-03",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "7160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.