Individual provider Active NPI

Freda Marie Lesh, DPT

  • Physical Therapist
  • La Grange, IL
National Provider Identifier
1639306996
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.017149 Issued in IL
Practice address
525 S Madison Ave
La Grange, IL 60525-2802
Phone
(708) 860-0897
NPI assigned
Jun 15, 2009
Last updated
Nov 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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 070017149 IL
Physical Therapist 225100000X 070.017149 IL Primary

Addresses

Primary practice location

525 S Madison Ave
La Grange, IL 60525-2802

Mailing address

525 S Madison Ave
La Grange, IL 60525-2802
Phone (708) 860-0897

Other practice location 1

2311 W 22nd St Ste 102
Oak Brook, IL 60523-1265
Phone (877) 709-1090

Other names 1

  • Freda Marie Young Former name

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
070.017149ILMDPhysical Therapist
070017149ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville, LLC Past Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist PastSince Aug 28, 2007 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 4

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": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1639306996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S MADISON AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252802",
            "telephone_number": "708-860-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S MADISON AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252802",
            "telephone_number": "708-860-0897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2311 W 22nd St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605231265",
            "country_code": "US",
            "telephone_number": "877-709-1090",
            "fax_number": "630-876-9187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESH",
        "first_name": "FREDA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070017149",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.017149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDA",
            "last_name": "YOUNG",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Grange, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.