Individual provider Active NPI

Leslie D Ferrigan, P.T.

  • Orthopedic Physical Therapist
  • Wauconda, IL
National Provider Identifier
1255414488
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
070005996 Issued in IL
Practice address
363 N Main St
Suite a
Wauconda, IL 60084-3036
Phone
(847) 487-0290
Fax
(847) 487-0292
NPI assigned
Oct 23, 2006
Last updated
Oct 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 070005996 IL Primary

Addresses

Primary practice location

363 N Main St
Suite a
Wauconda, IL 60084-3036

Mailing address

363 N Main St
Suite a
Wauconda, IL 60084-3036
Phone (847) 487-0290

Other names 1

  • Leslie G Dacanay Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101106000023 IL Practitioner - Physical Therapist in Private Practice 5193796803

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
76.54
Promoting interoperability
83
Improvement activities
40
Cost
74.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1255414488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 N MAIN ST",
            "address_2": "SUITE A",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600843036",
            "telephone_number": "847-487-0290",
            "fax_number": "847-487-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 N MAIN ST",
            "address_2": "SUITE A",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600843036",
            "telephone_number": "847-487-0290",
            "fax_number": "847-487-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIGAN",
        "first_name": "LESLIE",
        "middle_name": "D",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070005996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "DACANAY",
            "middle_name": "G",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wauconda, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.

Verify at the official NPI Registry.