Leslie Wakefield Corp

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LESLIE WAKEFIELD CORP

Doing business as

Wellsprings Health

Practice address

2404 Hollywood Blvd
Hollywood, FL 33020-6607

Phone

(561) 252-5295

NPI assigned

Mar 22, 2022

Last updated

Mar 22, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leslie Wakefield, DPTNPI 1053696583

Title

Owner/Therapist

Phone

(561) 252-5295

Specialties & licenses 1

Addresses

Other names 1

• Wellsprings Health Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie Wakefield, DPT

  • Physical Therapist
  • North Miami, FL
  • NPI 1053696583
  NPD Authorized official

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1184373664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206607",
            "telephone_number": "561-252-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206607",
            "telephone_number": "561-252-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE WAKEFIELD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "561-252-5295",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PTEverywhere.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "2404 Hollywood Blvd",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330206607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wellsprings Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Dorren Leonard, BEHAVIOR TECHNICIAN
• Shirley Ben-Elazar Leoni, OD
• Sam Lerman, MD
• Lescobar PA (Pain Care Specialist of Florida)
• Robert Steven Leshaw, D.C.
• Elizabeth Marie Lessmann, R.T.(R)
• Adam Chad Lessne, M.D.
• Will Taylor Lester, MD
• Benjamin Leubitz, OTR
• Leung Health Care Hollywood Inc.

• Physical Therapist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.