Individual provider Active NPI

Leslie Winters, P.T.

  • Physical Therapist
  • Kahoka, MO
National Provider Identifier
1366458416
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
117019 Issued in MO
Practice address
120 S Johnson St
Kahoka, MO 63445-1657
Phone
(660) 727-2722
Fax
(660) 727-2725
NPI assigned
Jul 31, 2006
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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 117019 MO Primary

Addresses

Primary practice location

120 S Johnson St
Kahoka, MO 63445-1657

Mailing address

120 S Johnson St
Kahoka, MO 63445-1657
Phone (660) 727-2722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000219 MO Practitioner - Physical Therapist in Private Practice 0143286492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 S Johnson St
Kahoka, MO 63445-1657
Phone (660) 727-2722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117019MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Exceed Physical Therapy LLC Physical Therapist CurrentSince Jul 1, 2007 Accepting new patients
Advance Physical Therapy & Sports Medicine of Adams County LLC Past Accepting new patients
Advance Hannibal Regional Hospital LLC Physical Therapist Past Accepting new patients
Advance Physical Therapy & Sports Medicine of Lewis County LLC Physical Therapist PastSince Aug 8, 2012 Accepting new patients
Advance PT Therapy of Hannibal LLC Physical Therapist PastSince Aug 8, 2012 Accepting new patients
K.B. Therapy, Inc. Physical Therapist PastSince Jan 1, 2002 Accepting new patients
Advance Physical Therapy & Sports Medicine LLC Physical Therapist Past Accepting new patients

Locations

120 S Johnson St
Kahoka, MO 63445
Phone (660) 342-8351

Organizations & group practices 7

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1366458416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S JOHNSON ST",
            "city": "KAHOKA",
            "state": "MO",
            "postal_code": "634451657",
            "telephone_number": "660-727-2722",
            "fax_number": "660-727-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S JOHNSON ST",
            "city": "KAHOKA",
            "state": "MO",
            "postal_code": "634451657",
            "telephone_number": "660-727-2722",
            "fax_number": "660-727-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "LESLIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "117019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahoka, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.