Individual provider Active NPI

Leslie Beard Niederriter, PT, DPT

  • Physical Therapist
  • Gulf Shores, AL
National Provider Identifier
1376814244
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH8743 Issued in AL
Practice address
3947 Gulf Shores Pkwy Ste 260
Gulf Shores, AL 36542
Phone
(251) 943-0803
Fax
(251) 943-4403
NPI assigned
Jan 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 07798 LA
Physical Therapist 225100000X PTH8743 AL Primary

Addresses

Primary practice location

3947 Gulf Shores Pkwy Ste 260
Gulf Shores, AL 36542

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564
Phone (423) 238-7217

Other names 1

  • Leslie Beard Lawhun Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180829003952 AL Practitioner - Physical Therapist in Private Practice 9739349903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benchmark Physical Therapy of Alabama, LLCGroup PAC ID 5698930444, 73 clinicians

Practice addresses (Care Compare)

3947 Gulf Shores Pkwy
Suite 260
Gulf Shores, AL 36542-2729
Phone (251) 943-0803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH8743ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist CurrentSince Jan 29, 2018 Accepting new patients
Sustaining Grace Physiotherapy, LLC Current Accepting new patients

Locations

153 Narrows Pkwy
Ste 101
Birmingham, AL 35242
Phone (205) 640-4881

3947 Gulf Shores Pkwy
Ste 260
Gulf Shores, AL 36542
Phone (251) 943-0803

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

25751 Perdido Beach Blvd
Ste A7
Orange Beach, AL 36561
Phone (251) 501-4781

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

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": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1376814244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3947 GULF SHORES PKWY STE 260",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "36542",
            "telephone_number": "251-943-0803",
            "fax_number": "251-943-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDERRITER",
        "first_name": "LESLIE",
        "middle_name": "BEARD",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07798",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "LAWHUN",
            "middle_name": "BEARD",
            "credential": "PT,DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gulf Shores, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.