Individual provider Active NPI

Leslie Rose Brant, DPT

  • Physical Therapist
  • Bondurant, IA
National Provider Identifier
1689803850
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004437 Issued in IA
Practice address
85 Paine St SE Ste B
Bondurant, IA 50035-1154
Phone
(515) 528-2326
Fax
(515) 528-2327
NPI assigned
Jul 9, 2009
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004437 IA Primary

Addresses

Primary practice location

85 Paine St SE Ste B
Bondurant, IA 50035-1154

Mailing address

85 Paine St SE Ste B
Bondurant, IA 50035-1154
Phone (515) 528-2326

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160808001599 IA Practitioner - Physical Therapist in Private Practice 4385938760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1220 NE Station Xing
Suite 105
Grimes, IA 50111-8013
Phone (515) 984-0075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Jul 2, 2024 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Jul 2, 2024 Accepting new patients

Locations

85 Paine St SE
Ste B
Bondurant, IA 50035
Phone (515) 528-2326

1220 NE Station Xing
Ste 105
Grimes, IA 50111
Phone (515) 984-0075

850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070

Organizations & group practices 3

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": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1689803850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 PAINE ST SE STE B",
            "city": "BONDURANT",
            "state": "IA",
            "postal_code": "500351154",
            "telephone_number": "515-528-2326",
            "fax_number": "515-528-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 PAINE ST SE STE B",
            "city": "BONDURANT",
            "state": "IA",
            "postal_code": "500351154",
            "telephone_number": "515-528-2326",
            "fax_number": "515-528-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANT",
        "first_name": "LESLIE",
        "middle_name": "ROSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bondurant, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.