Active NPI
Freda Marie Lesh, DPT
- Physical Therapist
- La Grange, IL
National Provider Identifier
1639306996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.017149
- Practice address
- 525 S Madison Ave
La Grange, IL 60525-2802 - Phone
- (708) 860-0897
- NPI assigned
- Jun 15, 2009
- Last updated
- Nov 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070.017149 | IL | MD | Physical Therapist |
| 070017149 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Naperville, LLC | Past | Accepting new patients | |
| Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | Past | 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.
-
- Physical Therapist
- La Grange, IL
- NPI 1912470816
-
- Durable Medical Equipment & Medical Supplies
- Hazel Crest, IL
- NPI 1043952641
-
dba ATI Physical Therapy
- Physical Therapist
- Willowbrook, IL
- NPI 1144331794
-
dba ATI Physical Therapy
- Physical Therapist
- Naperville, IL
- NPI 1902917578
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
- Angela C Lebessis, D.D.S
- Diane C Lee, B.S.
- Patricia Lee, M.D.
- Scott Kwan Lee, M.D.
- Alexandria Marie Leonardo, M.S. CCC-SLP/L
- Megan Lestina, LCSW
- Lexington Health Care Center of Lagrange Inc
- Lexington Health Care Center of Lagrange, Inc.
- Jack Liang, DO
- Life Balance Chiropractic and Rehabilitation Inc.
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.