Individual provider Active NPI

Leslie Marie Homol, PT, DPT

  • Physical Therapist
  • Denver, NC
National Provider Identifier
1689344038
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21395 Issued in NC
Practice address
7482 Waterside Crossing Blvd
Denver, NC 28037-3005
Phone
(410) 579-8999
NPI assigned
Sep 16, 2021
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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 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

IdentifierTypeStateIssuer
28677OtherMDPHYSICAL THERAPY LICENSE
10840OtherSCPHYSICAL THERAPY LICENSE
P21395OtherNCPT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211006001797 MD Practitioner - Physical Therapist in Private Practice 6406254465 Reassigns benefits to 1 organization
I20211006002264 DC Practitioner - Physical Therapist in Private Practice 6406254465 Reassigns benefits to 1 organization
I20241213001381 NC Practitioner - Physical Therapist in Private Practice 6406254465 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10840SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Oct 1, 2024 Accepting new patients
Maryland Sportscare & Rehab LLC Single Specialty CurrentSince Sep 27, 2021 Accepting new patients
Select Physical Therapy Holdings Inc Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Sep 27, 2021 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.

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.

Verify at the official NPI Registry.