Individual provider Active NPI

Leslie K Marcks, PT

  • Physical Therapist
  • East Brunswick, NJ
National Provider Identifier
1487638995
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00399600 Issued in NJ
Practice address
180 Tices LN
East Brunswick, NJ 08816-1345
Phone
(908) 962-7689
Fax
(732) 785-0265
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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 40QA00399600 NJ Primary

Addresses

Primary practice location

180 Tices LN
East Brunswick, NJ 08816-1345

Mailing address

106 Sunset Ave
Princeton, NJ 08540-8532
Phone (732) 785-0040

Other names 1

  • Leslie K Marcks-Ochner Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040618001093 NJ Practitioner - Physical Therapist in Private Practice 2163407750 Practice locations: East Brunswick, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00399600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Therapy & Sports Rehab LLC Physical Therapist Past Accepting new patients
Endurance Rehabilitation and Wellness Center, PC Physical Therapist PastSince Apr 10, 2017 Accepting new patients
Pulmonary & Sleep Associates of Central Jersey,PC Past Accepting new patients

Organizations & group practices 3

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1487638995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SUNSET AVE",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085408532",
            "telephone_number": "732-785-0040",
            "fax_number": "732-785-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 TICES LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161345",
            "telephone_number": "908-962-7689",
            "fax_number": "732-785-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCKS",
        "first_name": "LESLIE",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00399600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "MARCKS-OCHNER",
            "middle_name": "K",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.