Individual provider Active NPI

Lesley Sheeley Mazick, PT, DPT, ATC

  • Physical Therapist
  • Macon, GA
National Provider Identifier
1619405156
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014655 Issued in GA
Practice address
4319 Hartley Bridge Rd Ste 150
Macon, GA 31216-5866
Phone
(479) 333-5111
NPI assigned
May 29, 2017
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2021013332 MO
Physical Therapist 225100000X PT014655 GA Primary
Athletic Trainer 2255A2300X AT003322 GA

Addresses

Primary practice location

4319 Hartley Bridge Rd Ste 150
Macon, GA 31216-5866

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

140 Wild Ridge Ln
Dahlonega, GA 30533-9111
Phone (478) 319-5864

Other practice location 2

2267 Memorial Dr Ste 300
Waycross, GA 31501-0902
Phone (912) 285-1927

Other practice location 3

3747 SW Raintree Dr
Lees Summit, MO 64082-4606
Phone (816) 537-5648

Other practice location 4

1021 Parkway Blvd Ste 101
Athens, GA 30606-6189
Phone (706) 352-2448

Other names 1

  • Lesley Sheeley Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728001256 GA Practitioner - Physical Therapist in Private Practice 3779907415 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

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

4319 Hartley Bridge Rd
Suite 150
Macon, GA 31216-5866
Phone (478) 333-5111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT014655GAMDPhysical Therapist
2021013332MOMDPhysical Therapist
AT003322GAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Feb 19, 2026 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 24, 2020 Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince Feb 19, 2026 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Feb 19, 2026 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 24, 2020 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Feb 19, 2026 Accepting new patients
Independent Physical Therapy of Ga, LLC Physical Therapist PastSince Jul 27, 2020 Accepting new patients

Locations

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

12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800

1021 Parkway Blvd
Ste 101
Athens, GA 30606
Phone (706) 352-2448

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

4319 Hartley Bridge Rd
Ste 150
Macon, GA 31216
Phone (478) 333-5111

1498 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 289-0525

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

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1496016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1619405156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 HARTLEY BRIDGE RD STE 150",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312165866",
            "telephone_number": "479-333-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Wild Ridge Ln",
            "address_purpose": "LOCATION",
            "city": "Dahlonega",
            "state": "GA",
            "postal_code": "305339111",
            "country_code": "US",
            "telephone_number": "478-319-5864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2267 Memorial Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315010902",
            "country_code": "US",
            "telephone_number": "912-285-1927",
            "fax_number": "912-285-1929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3747 SW Raintree Dr",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640824606",
            "country_code": "US",
            "telephone_number": "816-537-5648",
            "fax_number": "816-537-5649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 Parkway Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306066189",
            "country_code": "US",
            "telephone_number": "706-352-2448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZICK",
        "first_name": "LESLEY",
        "middle_name": "SHEELEY",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-29",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2021013332",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014655",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLEY",
            "last_name": "SHEELEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.