Individual provider Active NPI

Leslie Galutera Calub, DPT

  • Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1265683122
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5778 Issued in SC
Practice address
586 Lone Tree Dr
Mount Pleasant, SC 29464-8170
Phone
(843) 485-4999
NPI assigned
Oct 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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 5778 SC Primary

Addresses

Primary practice location

586 Lone Tree Dr
Mount Pleasant, SC 29464-8170

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170517003052 SC Practitioner - Physical Therapist in Private Practice 5799052973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RSFH - Ati Physical Therapy LLCGroup PAC ID 3375849946, 98 clinicians

Practice addresses (Care Compare)

217 A Saint James Ave
Suite 3
Goose Creek, SC 29445-2990
Phone (843) 277-6232

9241 University Blvd
Suite B1
North Charleston, SC 29406-9349
Phone (843) 764-4887

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
89.43
Improvement activities
40
Cost
74.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5778SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Sep 1, 2017 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Sep 1, 2017 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33299 Collection Ctr Dr
Chicago, IL 60693

1730 Savannah Hwy
Charleston, SC 29407
Phone (843) 763-4115

1941 Savage Rd
Ste 300A
Charleston, SC 29407
Phone (843) 402-1495

116 Foxbank Plantation Blvd
Ste E
Moncks Corner, SC 29461
Phone (843) 761-4622

586 Lone Tree Dr
Mt Pleasant, SC 29464
Phone (843) 884-7880

2070 Northbrook Blvd
Ste A9
North Charleston, SC 29406
Phone (843) 377-0268

9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140

9241 University Blvd
Ste A
North Charleston, SC 29406
Phone (843) 414-1140

5401 Netherby Ln
Ste 300
North Charleston, SC 29420
Phone (843) 225-5211

8950 University Blvd
Ste 200A
North Charleston, SC 29406
Phone (843) 414-1140

606 Nexton Square Dr
Ste 304
Summerville, SC 29486
Phone (843) 376-5963

1718 State Rd
Ste 7D
Summerville, SC 29486
Phone (843) 303-9418

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1265683122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 LONE TREE DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648170",
            "telephone_number": "843-485-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALUB",
        "first_name": "LESLIE",
        "middle_name": "GALUTERA",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.