Individual provider Active NPI

Leslie McPeters, PTA

  • Physical Therapy Assistant
  • Wake Forest, NC
National Provider Identifier
1700835543
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2757 Issued in NC
Practice address
843 Wake Forest Business Park
Suite 110
Wake Forest, NC 27587-6577
Phone
(919) 570-7080
Fax
(919) 570-7081
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2757 NC Primary

Addresses

Primary practice location

843 Wake Forest Business Park
Suite 110
Wake Forest, NC 27587-6577

Mailing address

843 Wake Forest Business Park
Suite 110
Wake Forest, NC 27587-6577
Phone (919) 570-7080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2757NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Physical Therapy PastSince Jul 1, 2003 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1700835543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 WAKE FOREST BUSINESS PARK",
            "address_2": "SUITE 110",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876577",
            "telephone_number": "919-570-7080",
            "fax_number": "919-570-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 WAKE FOREST BUSINESS PARK",
            "address_2": "SUITE 110",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876577",
            "telephone_number": "919-570-7080",
            "fax_number": "919-570-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPETERS",
        "first_name": "LESLIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "2757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.