Active NPI
Lesly Jeanpois, PT
- Physical Therapist
- Skokie, IL
National Provider Identifier
1396910394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070026592
- Practice address
- 8448 Kimball Ave
Skokie, IL 60076-2416 - Phone
- (847) 736-3939
- NPI assigned
- Apr 30, 2008
- Last updated
- Aug 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070026592 | IL | Primary |
| Physical Therapy Assistant | 225200000X | 160-002656 | IL |
Addresses
Primary practice location
8448 Kimball Ave
Skokie, IL 60076-2416
Mailing address
8448 Kimball Ave
Skokie, IL 60076-2416
Phone (847) 736-3939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160-002656 | IL | MD | Physical Therapy Assistant |
Organizations & group practices 1
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": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1396910394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8448 KIMBALL AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600762416",
"telephone_number": "847-736-3939",
"fax_number": "847-568-0956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8448 KIMBALL AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600762416",
"telephone_number": "847-736-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEANPOIS",
"first_name": "LESLY",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-30",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070026592",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160-002656",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.