Individual provider Active NPI

Leslie Putt, PT

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1669891859
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8391 Issued in AZ
Practice address
1690 E Park Ave
Chandler, AZ 85225-1659
Phone
(480) 812-5262
NPI assigned
Apr 15, 2014
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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 8391 AZ Primary
Physical Therapist 225100000X 009905L PA

Addresses

Primary practice location

1690 E Park Ave
Chandler, AZ 85225-1659

Mailing address

1690 E Park Ave
Chandler, AZ 85225-1659
Phone (480) 812-5262

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160531000980 AZ Practitioner - Physical Therapist in Private Practice 5698781334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moore Physical Therapy PLCGroup PAC ID 6103815212, 13 clinicians

Practice addresses (Care Compare)

2500 S Power Rd
Suite 123
Mesa, AZ 85209-6688
Phone (480) 218-1344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8391AZMDPhysical Therapist
009905LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
American Physical Therapy, Inc. Physical Therapist CurrentSince Mar 14, 2022 Accepting new patients
American Physical Medicine Inc CurrentSince Oct 18, 2019 Accepting new patients
Moore Physical Therapy PLC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Healthy Brain Aging, LLC PastSince Sep 1, 2019 Accepting new patients

Locations

6021 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118

2500 S Power Rd
Ste 123
Mesa, AZ 85209
Phone (480) 218-1344

8417 E McDowell Rd
Scottsdale, AZ 85257
Phone (480) 946-3399

8417 E McDowell Rd
Ste 101
Scottsdale, AZ 85257
Phone (480) 946-3399

8417 E McDowell Rd
Ste 103
Scottsdale, AZ 85257
Phone (480) 946-3399

2153 E Baseline Rd
Tempe, AZ 85283
Phone (480) 833-7879

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1669891859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 E PARK AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251659",
            "telephone_number": "480-812-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 E PARK AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251659",
            "telephone_number": "480-812-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTT",
        "first_name": "LESLIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8391",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "009905L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.