Leslie Allison Shields, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4909 Issued in SC

Practice address

160 Farmhouse Rd
Campobello, SC 29322-9344

Phone

(864) 702-8090

NPI assigned

Jan 31, 2024

Last updated

Jan 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• A Just Balance Physical Therapy LLC

  • Physical Therapist
  • Campobello, SC
  • NPI 1689438749
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1699538827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 BOILING SPRINGS RD # 127",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165716",
            "telephone_number": "864-702-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 FARMHOUSE RD",
            "city": "CAMPOBELLO",
            "state": "SC",
            "postal_code": "293229344",
            "telephone_number": "864-702-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "LESLIE",
        "middle_name": "ALLISON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Michaela Hudson
• Richard Jones, LCAS, SAP
• Mary Arlene Marin
• Karen Beth McCreary
• Renew Health & Wellness, LLC
• Caroline Skellie, RDH
• Southeast Regional Virtual Imaging Consulting Enterprise PA
• Spartanburg County District One Schools
• Spartanburg School District One
• Katherine Vickery, MS, CCC/SLP

• Physical Therapist in Campobello, SC
• Providers in Campobello, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.