Brenda Leisinger, PT
Individual provider Active NPI Physical Therapist · Channahon, IL
NPI 1235295486 · NPPES record last updated Aug 14, 2013
Key facts
- NPI
- 1235295486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070-002625 (IL)
- Practice address
- 25445 S Pheasant LN
Unit H
Channahon, IL 60410-8838 - Phone
- (815) 521-0111
- Fax
- (815) 521-0222
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-002625 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newsome Rehabilitation Center | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-002625 | IL | Yes |
Addresses
Primary practice location
25445 S Pheasant LN
Unit H
Channahon, IL 60410-8838
Mailing address
205 W Wacker Dr
Suite 1020
Chicago, IL 60606-1216
Phone (312) 640-0329
Other providers in Channahon, IL
- Michelle Keeton
- Alexandrea Kennedy
- Cynthia Rae Kiper
- Taylor Krull
- Amanda Layne
- Sheree Beth Lettman
- Linda Kramper, PSYD PC
- Vanessa Lloyd
- Angela Marie Lucas
- Renee Lukos
All providers in Channahon, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.