Leslie D Ferrigan, P.T.
Individual provider Active NPI Orthopedic Physical Therapist · Wauconda, IL
NPI 1255414488 · NPPES record last updated Oct 8, 2010
Key facts
- NPI
- 1255414488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 070005996 (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
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.07 of 100
- Quality
- 76.54
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 74.52
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101106000023 | IL | Practitioner - Physical Therapist in Private Practice | 5193796803 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070005996 | IL | MD | Orthopedic Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 070005996 | IL | Yes |
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
- Leslie G Dacanay
NPI Registry JSON
{
"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"
}
]
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- Michael Ferrari
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- James P Flood
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All providers in Wauconda, IL · Orthopedic 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 Oct 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.