Individual provider Active NPI

Ann Kathleen Lessila, PT

  • Physical Therapist
  • Menomonee Falls, WI
National Provider Identifier
1255436325
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4501-024 Issued in WI
Practice address
W143N5009 Brook Falls Dr
Menomonee Falls, WI 53051-6987
Phone
(262) 781-8352
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4501-024 WI Primary

Addresses

Primary practice location

W143N5009 Brook Falls Dr
Menomonee Falls, WI 53051-6987

Mailing address

W143N5009 Brook Falls Dr
Menomonee Falls, WI 53051-6987
Phone (262) 781-8352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4501-024WIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255436325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W143N5009 BROOK FALLS DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530516987",
            "telephone_number": "262-781-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W143N5009 BROOK FALLS DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530516987",
            "telephone_number": "262-781-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSILA",
        "first_name": "ANN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4501-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.