Leslie B. Clark, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9482 Issued in NC

Practice address

2430 Charles Blvd
Greenville, NC 27858-5924

Phone

(252) 215-9119

Fax

(252) 215-9121

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greenville Physical Therapy and Associates IncGroup PAC ID 6406932888, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Greenville Physical Therapy and Associates, Inc

  • Physical Therapist
  • Greenville, NC
  • NPI 1992982276
  Medicare reassignment Care Compare group NPD
• Therapeutic Life Center, Inc.

  • Occupational Therapist
  • Greenville, NC
  • NPI 1275559759

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1306991856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 OAKLAWN AVE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584625",
            "telephone_number": "252-353-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 CHARLES BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585924",
            "telephone_number": "252-215-9119",
            "fax_number": "252-215-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LESLIE",
        "middle_name": "B.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy E Clark, DO
• Anna Clark
• Ashli Riddick Clark, PA-C
• Deborah Clark
• Jayla Clark
• Machell Bell Clark
• Marsha Smith Clark, CRNA
• Michael David Clark, MD, PHD
• Robert Joel Clark, PA-C
• Timothy J Clark, MD

• Physical Therapist in Greenville, NC
• Providers in Greenville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.