Individual provider Active NPI

Todd A Leslie, MPT

  • Physical Therapist
  • Chula Vista, CA
National Provider Identifier
1467654707
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27486 Issued in CA
Practice address
985 Broadway
Suite E
Chula Vista, CA 91911-1779
Phone
(619) 585-0977
Fax
(619) 585-1013
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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 27486 CA Primary

Addresses

Primary practice location

985 Broadway
Suite E
Chula Vista, CA 91911-1779

Mailing address

985 Broadway
Suite E
Chula Vista, CA 91911-1779
Phone (619) 585-0977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090202000119 CA Practitioner - Physical Therapist in Private Practice 9931263225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

985 Broadway
Suite E
Chula Vista, CA 91911-1744
Phone (619) 585-0977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27486CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
In-Motion PT Inc Physical Therapist CurrentSince Jul 1, 2010 Accepting new patients

Locations

985 Broadway
Ste E
Chula Vista, CA 91911
Phone (619) 422-3473

374 H St
Ste 102
Chula Vista, CA 91910
Phone (619) 585-1013

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1467654707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 BROADWAY",
            "address_2": "SUITE E",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111779",
            "telephone_number": "619-585-0977",
            "fax_number": "619-585-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 BROADWAY",
            "address_2": "SUITE E",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111779",
            "telephone_number": "619-585-0977",
            "fax_number": "619-585-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "TODD",
        "middle_name": "A",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.