Leslie Nilsen

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT009147 Issued in GA

Practice address

517 Great Oaks Dr
Suite 102
Monroe, GA 30655-8211

Phone

(770) 207-6624

NPI assigned

May 17, 2007

Last updated

Jan 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sarah V McBee MD PC

  • Primary Care Clinic/Center
  • Monroe, GA
  • NPI 1598856833
  NPD (past)
• Drayer Physical Therapy Institute LLC

  • Physical Therapist
  • York, PA
  • NPI 1053348409

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1568679587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 STONE ST",
            "city": "OXFORD",
            "state": "GA",
            "postal_code": "300542439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 GREAT OAKS DR",
            "address_2": "SUITE 102",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558211",
            "telephone_number": "770-207-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSEN",
        "first_name": "LESLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT009147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamra Nasworthy, LMSW
• National Vision Inc (America's Best Contacts & Eyeglasses)
• Nephron Corporation (Walton Dialysis Center)
• Norman A Nicholas, L.D.O.
• F. Peter Nicholson, M.D.
• Francis Ikechukwu Njoku
• Serah Ashley Nock
• Roberto Norniella, MD
• Northeast Internal Medicine, P.C.
• Nursing Home Pharmacy LLC (Nursing Home Pharmacy)

• Orthopedic Physical Therapist in Monroe, GA
• Providers in Monroe, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.