Organization Active NPI

Lesueur Physical Therapy LLC

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1447038724
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LESUEUR PHYSICAL THERAPY LLC
Practice address
1356 S Gilbert Rd Ste B11
Mesa, AZ 85204-6093
Phone
(480) 331-1232
Fax
(480) 546-3828
NPI assigned
Sep 19, 2023
Last updated
Feb 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Robert Darrel Lesueur, PT, DPTNPI 1659757508
Title
Owner
Phone
(480) 276-3239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1356 S Gilbert Rd Ste B11
Mesa, AZ 85204-6093

Mailing address

1356 S Gilbert Rd Ste B11
Mesa, AZ 85204-6093
Phone (480) 331-1232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240325003316 AZ Part B Supplier - Clinic/Group Practice 5597102673 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

1356 S Gilbert Rd
Ste B11
Mesa, AZ 85204
Phone (480) 331-1232

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1447038724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 S GILBERT RD STE B11",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046093",
            "telephone_number": "480-331-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 S GILBERT RD STE B11",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046093",
            "telephone_number": "480-331-1232",
            "fax_number": "480-546-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESUEUR PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "LESUEUR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DARREL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-276-3239",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.

Verify at the official NPI Registry.