Active NPI
Leslie Gravina, PT
- Physical Therapist
- Leland, NC
National Provider Identifier
1467648030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P22346
- Practice address
- 2357 Sedgewren Loop NE
Leland, NC 28451-9679 - Phone
- (678) 431-9828
- NPI assigned
- Sep 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT009024 | GA | |
| Physical Therapist | 225100000X | P22346 | NC | Primary |
Addresses
Primary practice location
2357 Sedgewren Loop NE
Leland, NC 28451-9679
Mailing address
2357 Sedgewren Loop NE
Leland, NC 28451-9679
Phone (678) 431-9828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 536511322A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P22346 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1467648030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2357 SEDGEWREN LOOP NE",
"city": "LELAND",
"state": "NC",
"postal_code": "284519679",
"telephone_number": "678-431-9828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2357 SEDGEWREN LOOP NE",
"city": "LELAND",
"state": "NC",
"postal_code": "284519679",
"telephone_number": "678-431-9828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVINA",
"first_name": "LESLIE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-18",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "GA",
"license": "PT009024",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P22346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "536511322A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leland, NC
- Bret Gillespie
- Helen Goldenberg, OTR
- Goshen Medical Center Incorporated (Goshen Medical Center - Leland)
- Danielle M Gough Tooker, DMD
- Graceful Healing, PLLC
- Sean Patrick Gray, PHARM-D
- Greater You Counseling and Wellness, PLLC
- Greatest Potential Chiropractic LLC
- Jennifer Wester Griffin, LCSWA
- Hayley Gutowski, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.