Individual provider Active NPI

Nicole Leskovec

  • Orthopedic Physical Therapist
  • Mentor, OH
National Provider Identifier
1730614108
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
016734 Issued in OH
Practice address
8836 Tyler Blvd
Mentor, OH 44060-4361
Phone
(440) 255-9553
Fax
(440) 255-9563
NPI assigned
Apr 24, 2017
Last updated
Apr 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 016734 OH Primary

Addresses

Primary practice location

8836 Tyler Blvd
Mentor, OH 44060-4361

Mailing address

1415 Oakwood TRL
Painesville, OH 44077-7616
Phone (440) 255-9553

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200414003711 NC Practitioner - Physical Therapist in Private Practice 9032496427 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saylor Physical Therapy Cornelius LLC CurrentSince Jan 18, 2020 Accepting new patients
Saylor Physical Therapy Huntersville LLC Orthopedic CurrentSince Dec 1, 2023 Accepting new patients
Foundation Health Systems LLC Past Accepting new patients

Locations

19460 Old Jetton Rd
Ste 202
Cornelius, NC 28031
Phone (704) 255-6879

13620 Reese Blvd E
Ste 130
Huntersville, NC 28078
Phone (704) 274-5795

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": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1730614108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 OAKWOOD TRL",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440777616",
            "telephone_number": "440-255-9553",
            "fax_number": "440-255-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8836 TYLER BLVD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604361",
            "telephone_number": "440-255-9553",
            "fax_number": "440-255-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESKOVEC",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "016734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.