Jeff M. Leiszler, PT
Individual provider Active NPI Physical Therapist · Spartanburg, SC
NPI 1144288382 · NPPES record last updated Oct 26, 2007
Key facts
- NPI
- 1144288382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3472 (SC)
- Practice address
- 2500 Winchester PL
Suite 100
Spartanburg, SC 29301-1550 - Phone
- (864) 574-7282
- Fax
- (864) 574-7664
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8811 Warren H Abernathy Hwy
Spartanburg, SC 29301-1228
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060131000180 | SC | Practitioner - Physical Therapist in Private Practice | 1759395650 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3472 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Therapy Solutions, Inc. | Physical Therapist | Current |
Accepting new patients |
| Advanced Therapy Solutions, Inc. | Physical Therapist | Current |
Accepting new patients |
| Ats Kids LLC | Physical Therapist | Past |
Accepting new patients |
| McCulloh Therapeutic Solutions | Past | Accepting new patients |
Locations
2500 Winchester Pl
Ste 100
Spartanburg, SC 29301
Phone (864) 574-7282
8811 Warren H Abernathy Hwy
Spartanburg, SC 29301
Phone (864) 574-7282
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3472 | SC | Yes |
Addresses
Primary practice location
2500 Winchester PL
Suite 100
Spartanburg, SC 29301-1550
Mailing address
PO Box 629
Mauldin, SC 29662-0629
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11487456 | Other | SC | FIRST HEALTH |
Other providers in Spartanburg, SC
- Christie Melby Lehman
- Jordan Lehman
- Leigh Ann Lehman
- Lynn Marie Lehman
- Rebecca Leibrick
- Daniel Lenhart
- Phillip A Leonard
- Walter R. Leonard
- Spencer Lin-for Leong
- Gabrielle Chapman Leopard
All providers in Spartanburg, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.