Individual provider Active NPI

Leslie Asher Fuchs, DPT

  • Physical Therapist
  • South Bend, IN
National Provider Identifier
1457895575
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05010700A Issued in IN
Practice address
1815 E Ireland Rd Ste 100
South Bend, IN 46614-2845
Phone
(574) 647-5790
Fax
(574) 647-5792
NPI assigned
Dec 8, 2016
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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 05010700A IN Primary

Addresses

Primary practice location

1815 E Ireland Rd Ste 100
South Bend, IN 46614-2845

Mailing address

710 N Niles Ave
South Bend, IN 46617-1924
Phone (574) 647-1610

Other practice location 1

200 E Jackson Blvd Ste 150
Elkhart, IN 46516-3513
Phone (574) 389-5558

Other practice location 2

3221 Beacon Pkwy Ste 100
Granger, IN 46530-7196
Phone (574) 647-2930

Other practice location 3

900 I St Ste 100
LA Porte, IN 46350-5533
Phone (219) 324-1730

Other identifiers 1

IdentifierTypeStateIssuer
201410590MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lfuchs@mybeacon.cernerdirect.com
Direct Messaging Address lfuchs@mybeacon.cernerdirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170125000300 IN Practitioner - Physical Therapist in Private Practice 1456632587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rci (WRS) LLCGroup PAC ID 5092624510, 325 clinicians

Practice addresses (Care Compare)

12788 Adams Rd
Granger, IN 46530-7893
Phone (574) 271-1434

200 N Church St
101 Rush Physical Therapy
Mishawaka, IN 46544-1423
Phone (574) 807-9995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Health, LLC Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients
Rci (WRS), LLC CurrentSince Aug 12, 2024 Accepting new patients
Rci (WRS), LLC. Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients
Beacon Medical Group, Inc. PastSince Jan 1, 2017 Accepting new patients
Beacon Health, LLC Past Accepting new patients

Locations

200 E Jackson Blvd
Ste 150
Elkhart, IN 46516
Phone (574) 389-5558

12788 State Road 23
Granger, IN 46530
Phone (574) 271-1434

3221 Beacon Pkwy
Ste 100
Granger, IN 46530
Phone (574) 647-2930

3221 Beacon Pkwy
Ste B
Granger, IN 46530
Phone (574) 647-1700

900 I St
#100
Laporte, IN 46350
Phone (219) 324-1730

303 S Main St
Ste 215
Mishawaka, IN 46544
Phone (574) 291-4000

1815 E Ireland Rd
#100
South Bend, IN 46614
Phone (574) 647-5790

1815 E Ireland Rd
Ste B
South Bend, IN 46614
Phone (574) 647-5790

710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610

Interoperability endpoints

  • Direct secure messaging: lfuchs@mybeacon.cernerdirect.com

Organizations & group practices 5

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": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1457895575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N NILES AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171924",
            "telephone_number": "574-647-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E IRELAND RD STE 100",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142845",
            "telephone_number": "574-647-5790",
            "fax_number": "574-647-5792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Jackson Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465163513",
            "country_code": "US",
            "telephone_number": "574-389-5558",
            "fax_number": "574-389-5559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3221 Beacon Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Granger",
            "state": "IN",
            "postal_code": "465307196",
            "country_code": "US",
            "telephone_number": "574-647-2930",
            "fax_number": "574-647-2935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 I St Ste 100",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463505533",
            "country_code": "US",
            "telephone_number": "219-324-1730",
            "fax_number": "219-324-1735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUCHS",
        "first_name": "LESLIE",
        "middle_name": "ASHER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010700A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201410590",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lfuchs@mybeacon.cernerdirect.com",
            "affiliation": "N",
            "address_1": "4630 Vistula Rd",
            "city": "Mishawaka",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465444000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lfuchs@mybeacon.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1815 E Ireland Rd Ste 100",
            "city": "South Bend",
            "state": "IN",
            "country_code": "US",
            "postal_code": "466142845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.