Active NPI
Leslie Ann Fickert, PT
- Physical Therapist
- Berne, IN
National Provider Identifier
1659829679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05011072A
- Practice address
- 1350 W Main St
Berne, IN 46711-1741 - Phone
- (260) 589-4418
- Fax
- (260) 589-4447
- NPI assigned
- Sep 19, 2016
- Last updated
- Sep 19, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05011072A | IN | Primary |
Addresses
Primary practice location
1350 W Main St
Berne, IN 46711-1741
Mailing address
1411 W County Line Rd
Greenwood, IN 46142-5249
Phone (800) 486-4449
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05011072A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1659829679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 W COUNTY LINE RD",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461425249",
"telephone_number": "800-486-4449",
"fax_number": "317-886-5027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 W MAIN ST",
"city": "BERNE",
"state": "IN",
"postal_code": "467111741",
"telephone_number": "260-589-4418",
"fax_number": "260-589-4447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FICKERT",
"first_name": "LESLIE",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-19",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05011072A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berne, IN
- Everside Health, LLC
- Family Eye Clinic, P.C. (Family Eye Care)
- Family Hospice of Northeast Indiana (Family Hospice and Palliative Care)
- Family Hospice of Northeast Indiana Inc (Family Home Care)
- Family Hospice of Northeast Indiana Inc
- Debra Ann Fiechter, RN, FNP
- Fisher Dental, P.C.
- Edward A. Fisher, D.D.S.
- Paul Thomas Fisher, D.D.S.
- Katie Fralick
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.