Active NPI
Leslie Coleman Lovelace, PT
- Physical Therapist
- Danville, VA
National Provider Identifier
1245562073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305206355
- Practice address
- 109 Bridge St Ste 300
Danville, VA 24541-1222 - Phone
- (434) 793-4711
- Fax
- (434) 797-2514
- NPI assigned
- Feb 4, 2010
- Last updated
- Jun 12, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 2305206355 | VA | Primary |
Addresses
Primary practice location
109 Bridge St Ste 300
Danville, VA 24541-1222
Mailing address
109 Bridge St Ste 300
Danville, VA 24541-1222
Phone (434) 793-4711
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245562073 | Medicaid | VA | |
| 2305206355 | Other | VA | STATE OF VIRGINIA LICENSE |
| 2305206355 | Other | VA | VA. LICENSE NO. |
Other names 1
- Miss Leslie Coleman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
109 Bridge St
Apt 300
Danville, VA 24541-1241
Phone (434) 793-4711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305206355 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danville Physician Practices LLC | Current | Accepting new patients | |
| Danville Physician Practices LLC | Current | Accepting new patients | |
| Spectrum Medical Inc | Current | Accepting new patients | |
| Greensboro Pathology, LLC | Current | Accepting new patients | |
| Spectrum Medical Inc | Physical Therapist | Past | Accepting new patients |
Locations
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
Interoperability endpoints
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
Organizations & group practices 5
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.
-
dba SOVAH Physician Practices
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-
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-
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-
- Clinical Medical Laboratory
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- NPI 1952396202
-
- Physical Therapist
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- NPI 1326208604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591920000000",
"number": "1245562073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 BRIDGE ST STE 300",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245411222",
"telephone_number": "434-793-4711",
"fax_number": "434-797-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 BRIDGE ST STE 300",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245411222",
"telephone_number": "434-793-4711",
"fax_number": "434-797-2514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELACE",
"first_name": "LESLIE",
"middle_name": "COLEMAN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-04",
"last_updated": "2020-06-12",
"certification_date": "2020-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305206355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245562073",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF VIRGINIA LICENSE",
"identifier": "2305206355",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA. LICENSE NO.",
"identifier": "2305206355",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "COLEMAN",
"prefix": "MISS",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Danville, VA
- Madisyn Rigsby Lopez, DMD
- Carlos Lora
- Bevin Griffith Lovelace, LPC
- Chemieka Denise Lovelace, CSAC SUPERVISEE
- Doris Mae Lovelace, CNA
- Cynthia Jean Lovell, LPC
- Loving Solutions Residential Services LLC
- Dana Lowenthal, D.O.
- Carolyn Holland Lumpkin, CERTIFIED FITTER
- Peyton Mackenzie Mabins, APRN, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.