Individual provider Active NPI

Lesley Redding Parrish, PT

  • Physical Therapist
  • Troy University, AL
National Provider Identifier
1619990686
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH6694 Issued in AL
Practice address
3230 Stadium Tower
Troy University, AL 36082
Phone
(334) 403-6268
Fax
(334) 403-6269
NPI assigned
Jul 25, 2006
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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 PT 6726 TN
Physical Therapist 225100000X PTH6694 AL Primary

Addresses

Primary practice location

3230 Stadium Tower
Troy University, AL 36082

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

3226 Veterans Stadium Drive
Troy, AL 36081
Phone (334) 670-5955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 6726TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Sports Medicine and Orthopaedic Center, P.C. Past Accepting new patients

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, 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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1619990686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 STADIUM TOWER",
            "city": "TROY UNIVERSITY",
            "state": "AL",
            "postal_code": "36082",
            "telephone_number": "334-403-6268",
            "fax_number": "334-403-6269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3226 Veterans Stadium Drive",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "AL",
            "postal_code": "36081",
            "country_code": "US",
            "telephone_number": "334-670-5955",
            "fax_number": "334-670-5958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "LESLEY",
        "middle_name": "REDDING",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT 6726",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.