Individual provider Active NPI

Wayne Eric Leising, PT, DPT

  • Physical Therapist
  • Phenix City, AL
National Provider Identifier
1518918929
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH4595 Issued in AL
Practice address
5009 River Chase Dr
Ste 100C
Phenix City, AL 36867-7425
Phone
(334) 298-0650
Fax
(334) 298-1020
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008406 GA
Physical Therapist 225100000X PTH4595 AL Primary

Addresses

Primary practice location

5009 River Chase Dr
Ste 100C
Phenix City, AL 36867-7425

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564
Phone (423) 238-7217

Other practice location 1

6361 Talokas Ln
Columbus, GA 31909-5642
Phone (706) 569-6250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050831000053 AL Practitioner - Physical Therapist in Private Practice 9032140926 Reassigns benefits to 1 organization
I20150819007119 GA Practitioner - Physical Therapist in Private Practice 9032140926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benchmark Physical Therapy of Alabama, LLCGroup PAC ID 5698930444, 73 clinicians

Practice addresses (Care Compare)

1025 E W Connector
Suite 406
Austell, GA 30106-8531
Phone (770) 384-1001

112 Kia Dr
Suite B
Lagrange, GA 30241-3731
Phone (706) 668-6336

153 Narrows Pkwy
Suite 101
Birmingham, AL 35242-8601
Phone (205) 981-4534

5009 River Chase Dr
Suite 100C
Phenix City, AL 36867-7484
Phone (334) 298-0650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH4595ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Physical Therapist Current Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Jul 1, 2017 Accepting new patients
Independent Physical Therapy of Ga, LLC Physical Therapist CurrentSince Jul 1, 2017 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jul 1, 2017 Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist CurrentSince May 9, 2016 Accepting new patients
PT Solutions, LLC Physical Therapist Past Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist Past Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist Past Accepting new patients

Locations

153 Narrows Pkwy
Ste 101
Birmingham, AL 35242
Phone (205) 640-4881

151 Fly Creek Ave
Ste 438
Fairhope, AL 36532
Phone (251) 928-9619

3947 Gulf Shores Pkwy
Ste 260
Gulf Shores, AL 36542
Phone (251) 943-0803

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1713 Montgomery Hwy
Ste 131
Hoover, AL 35244
Phone (205) 403-8701

4500 Montevallo Rd
Ste E107
Irondale, AL 35210
Phone (205) 957-0870

7721 Airport Blvd
Ste E120
Mobile, AL 36608
Phone (251) 631-3680

2846 Moody Pkwy
Ste 200
Moody, AL 35004
Phone (205) 640-0257

5009 Riverchase Dr
Ste 100C
Phenix City, AL 36867
Phone (334) 291-5125

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1639 Bradley Park Dr
Ste C2
Columbus, GA 31904
Phone (706) 322-9311

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

277 Highway 74 N
Ste 203
Peachtree City, GA 30269
Phone (678) 364-0337

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 8

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1518918929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-7217",
            "fax_number": "423-362-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 RIVER CHASE DR",
            "address_2": "STE 100C",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677425",
            "telephone_number": "334-298-0650",
            "fax_number": "334-298-1020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6361 Talokas Ln",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319095642",
            "country_code": "US",
            "telephone_number": "706-569-6250",
            "fax_number": "706-569-6335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEISING",
        "first_name": "WAYNE",
        "middle_name": "ERIC",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008406",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.