Active NPI
Leslie Marie Homol, PT, DPT
- Physical Therapist
- Denver, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P21395
- Practice address
- 7482 Waterside Crossing Blvd
Denver, NC 28037-3005 - Phone
- (410) 579-8999
- NPI assigned
- Sep 16, 2021
- Last updated
- Mar 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | P21395 | NC | Primary |
| Physical Therapist | 225100000X | 10840 | SC |
Addresses
Primary practice location
7482 Waterside Crossing Blvd
Denver, NC 28037-3005
Mailing address
2961 Legacy Ridge LN
Catawba, NC 28609-9547
Phone (440) 596-0469
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28677 | Other | MD | PHYSICAL THERAPY LICENSE |
| 10840 | Other | SC | PHYSICAL THERAPY LICENSE |
| P21395 | Other | NC | PT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, NC
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10840 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Maryland Sportscare & Rehab LLC | Single Specialty | Current | Accepting new patients |
| Select Physical Therapy Holdings Inc | Single Specialty | Current | Accepting new patients |
| Maryland Sportscare & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
Locations
9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761
6785 Business Pkwy
Elkridge, MD 21075
Phone (410) 579-8999
141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478
25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300
10020 Edison Square Dr NW
Ste C105
Concord, NC 28027
Phone (704) 948-5351
7482 Waterside Crossing Blvd
Ste 103
Denver, NC 28037
Phone (704) 827-0598
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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1669432175
Single Specialty
-
dba Pivot Physical Therapy of Maryland
- Physical Therapist
- Westminster, MD
- NPI 1518951995
DC, Single Specialty
-
dba Pivot Physical Therapy of Maryland
- Physical Therapist
- Westminster, MD
- NPI 1720445174
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1689344038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2961 LEGACY RIDGE LN",
"city": "CATAWBA",
"state": "NC",
"postal_code": "286099547",
"telephone_number": "440-596-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7482 WATERSIDE CROSSING BLVD",
"city": "DENVER",
"state": "NC",
"postal_code": "280373005",
"telephone_number": "410-579-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMOL",
"first_name": "LESLIE",
"middle_name": "MARIE",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-16",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P21395",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "10840",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "28677",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "10840",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT",
"identifier": "P21395",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.