Individual provider Active NPI

Leslie M Parker, MPT,CDT

  • Physical Therapist
  • Eliot, ME
National Provider Identifier
1275899874
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3581 Issued in ME
Practice address
46 Slate Hill Rd
Eliot, ME 03903-1224
Phone
(207) 439-3839
NPI assigned
Apr 9, 2012
Last updated
Apr 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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 PT3581 ME Primary

Addresses

Primary practice location

46 Slate Hill Rd
Eliot, ME 03903-1224

Mailing address

46 Slate Hill Rd
Eliot, ME 03903-1224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120830000594 ME Practitioner - Physical Therapist in Private Practice 2163683376 Reassigns benefits to 1 organization
I20130708000571 NH Practitioner - Physical Therapist in Private Practice 2163683376 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanside Physical Therapy, LLC Physical Therapist CurrentSince Jan 16, 2023 Accepting new patients

Locations

51 Webb Pl
Ste 320
Dover, NH 03820
Phone (603) 580-4494

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1275899874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SLATE HILL RD",
            "city": "ELIOT",
            "state": "ME",
            "postal_code": "039031224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SLATE HILL RD",
            "city": "ELIOT",
            "state": "ME",
            "postal_code": "039031224",
            "telephone_number": "207-439-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "LESLIE",
        "middle_name": "M",
        "credential": "MPT,CDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eliot, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.