Nathan J Lessard, DPT
Individual provider Active NPI Physical Therapist · Wildomar, CA
NPI 1700433877 · NPPES record last updated Feb 25, 2025
Key facts
- NPI
- 1700433877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 305951 (CA)
- Practice address
- 32246 Clinton Keith Rd
Wildomar, CA 92595-7320 - Phone
- (951) 677-7221
- Fax
- (951) 677-7331
- NPI assigned
- Aug 22, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pappas Physical Therapy LLC
All Star Physical Therapy
Practice addresses (Care Compare)
1524 Atwood Ave
Suite LL2
Johnston, RI 02919-3228
Phone (401) 383-5299
16008 Kamana Rd
Suite 200
Apple Valley, CA 92307-1376
Phone (760) 810-7767
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in RI, AZ, CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190904000532 | RI | Practitioner - Physical Therapist in Private Practice | 7911236724 | Reassigns benefits to 1 organization |
| I20240123000147 | AZ | Practitioner - Physical Therapist in Private Practice | 7911236724 | Reassigns benefits to 1 organization |
| I20240605000219 | CA | Practitioner - Physical Therapist in Private Practice | 7911236724 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (8 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Current |
Accepting new patients |
| California Orthopedics & Spine Inc | Current |
Accepting new patients | |
| Pappas Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| California Orthopedics & Spine Inc | Current |
Accepting new patients | |
| Pappas Physical Therapy LLC | Current |
Accepting new patients | |
| Foothills Sports Medicine & Rehabilitation, LLC | Current |
Accepting new patients | |
| All Star Physical Therapy | Physical Therapist | Current |
Accepting new patients |
| Breakthrough Physical Therapy | Physical Therapist | Past |
Accepting new patients |
Locations
19420 N 59th Ave
Ste H830
Glendale, AZ 85308
Phone (623) 302-9020
6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909
15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822
3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204
16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767
18 Bon Air Rd
Larkspur, CA 94939
Phone (415) 927-5300
5 Bon Air Rd
Ste 129
Larkspur, CA 94939
Phone (415) 924-8900
24630 Washington Ave
Ste 201
Murrieta, CA 92562
Phone (951) 200-3620
450 W Palmdale Blvd
Palmdale, CA 93551
Phone (661) 273-5333
1338 Main St
Ramona, CA 92065
Phone (760) 789-1400
29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001
1922 Hacienda Dr
Vista, CA 92081
Phone (760) 295-4175
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
1100 Reservoir Ave
Cranston, RI 02910
Phone (401) 785-1016
1524 Atwood Ave
Ste LL2
Johnston, RI 02919
Phone (401) 276-9180
1181 Aquidneck Ave
Middletown, RI 02842
Phone (401) 845-0840
1812 Main Rd
Tiverton, RI 02878
Phone (401) 625-9855
730 Kingstown Rd
Ste A14
Wakefield, RI 02879
Phone (401) 284-3424
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT03217 | RI | |
| Physical Therapist | 225100000X | P21108 | NC | |
| Physical Therapist | 225100000X | 305951 | CA | Yes |
Addresses
Primary practice location
32246 Clinton Keith Rd
Wildomar, CA 92595-7320
Mailing address
32246 Clinton Keith Rd
Wildomar, CA 92595-7320
Phone (951) 677-7221
Other practice location 1
303 N 35th St
Morehead City, NC 28557-3105
Phone (252) 247-2738
Other practice location 2
1181 Aquidneck Ave
Middletown, RI 02842-5255
Phone (401) 845-0840
Other practice location 3
730 Kingstown Rd Ste A14
Wakefield, RI 02879-3011
Phone (401) 284-3424
Other practice location 4
1812 Main Rd
Tiverton, RI 02878-4625
Phone (401) 625-9855
Other providers in Wildomar, CA
- Christopher Leblanc
- Aalona Lee
- Alexandra Lee
- Adriana Lees
- Ashley Lepley
- Nicholas Andrew Leverone
- Dora Leyva
- Chloe Ivana Licon
- Life Saver Corporation
- Lifecare Solutions Inc
All providers in Wildomar, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.