Leslie Lourenzo, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22792 Issued in CA

Practice address

350 John Muir Pkwy Ste 250
Brentwood, CA 94513-5194

Phone

(925) 308-8160

Fax

(925) 308-8760

NPI assigned

Mar 14, 2019

Last updated

Aug 5, 2019By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA, ID2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Therapy Source LLCGroup PAC ID 7012002702, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: leslie.lourenzo.p1@direct.muirortho.nextgenshare.com
• Direct secure messaging: leslie.lourenzo.p2@direct.muirortho.nextgenshare.com

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.

• Primary Therapy Source, LLC

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1912027343
  Medicare reassignment Care Compare group NPD
• Golden State Orthopedics & Spine

  • Orthopaedic Surgery Physician
  • Walnut Creek, CA
  • NPI 1972552990
  Medicare reassignment NPD
• Golden State Orthopedics & Spine

  • Orthopaedic Surgery Physician
  • San Jose, CA
  • NPI 1245021401
  NPD
• Golden State Orthopedics & Spine

  • Orthopaedic Surgery Physician
  • Walnut Creek, CA
  • NPI 1821488966
  NPD
• Primary Therapy Source LLC

  • Durable Medical Equipment & Medical Supplies
  • Twin Falls, ID
  • NPI 1104672682

  Physical Therapist

  NPD
• Golden State Orthopedics & Spine

  • Orthopaedic Surgery Physician
  • San Francisco, CA
  • NPI 1457004897
  NPD (past)

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1437618931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD # 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168",
            "telephone_number": "925-952-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 JOHN MUIR PKWY STE 250",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135194",
            "telephone_number": "925-308-8160",
            "fax_number": "925-308-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOURENZO",
        "first_name": "LESLIE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leslie.edwards@johnmuirhealth.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "925-308-8160",
            "address_1": "350 John Muir Pkwy Ste 250",
            "city": "Brentwood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945135194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Larry Christopher Lopez, DOCTOR OF CHIROPRACT
• Lindsay Lopez
• Maria Yajaira Lopez
• Jacqueline Elizabeth Lough, DOULA
• Mariya Louis
• Kristin Lowe, DDS
• Suzanne Maupin Lowe, DC
• Akilah Lacrecia Quanish Loyd
• Hung CHI Lu
• Lucky Stores II LLC (Savon Drugs)

• Physical Therapist in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.