Leslie Terrell, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4291 Issued in AZ

Practice address

250 S McCormick St
Prescott, AZ 86303-4714

Phone

(928) 710-1819

Fax

(928) 443-9029

NPI assigned

May 9, 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

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beyond Physical Therapy PLLC

  dba Beyond Physical Therapy

  • Physical Therapist
  • Prescott, AZ
  • NPI 1487162129
  Authorized official Same address or phone
• Beyond Physical Therapy PLLC

  • Physical Therapist
  • Prescott, AZ
  • NPI 1841971660
  Authorized official Same address or phone

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1164471892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S BANDIT RIDGE RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863059758",
            "telephone_number": "928-710-1819",
            "fax_number": "928-443-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S MCCORMICK ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034714",
            "telephone_number": "928-710-1819",
            "fax_number": "928-443-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "LESLIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "4291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMP VA",
            "identifier": "1887614",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "456865-001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7393636",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1887614",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0310230",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCF OF ARIZONA",
            "identifier": "19139712",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "352947100",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ternion Long Term Care PLLC
• Terra Nova Behavioral Healthcare LLC
• David J Terry, DPM
• Ray W Testerman, PHARMD
• Laurie Alice Tetreault, M.A.
• Bart J Teuscher, PHARMD
• The Alarm Connection

• Physical Therapist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.