Individual provider Active NPI

Leslie Diane Boone, MPT

  • Physical Therapist
  • Truth Or Consequences, NM
National Provider Identifier
1780690941
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3290 Issued in NM
Practice address
1070 E. 3Rd Ave.
Truth Or Consequences, NM 87901-2602
Phone
(575) 894-0485
Fax
(575) 894-0495
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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 3290 NM Primary

Addresses

Primary practice location

1070 E. 3Rd Ave.
Truth Or Consequences, NM 87901-2602

Mailing address

1070 E. 3Rd Ave.
Truth Or Consequences, NM 87901-2602
Phone (575) 894-0485

Other identifiers 2

IdentifierTypeStateIssuer
02823276MedicaidNM
NM00Q572OtherBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061007000001 NM Practitioner - Physical Therapist in Private Practice 2668475278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hot Springs Physical Therapy LLCGroup PAC ID 1658506597, 2 clinicians

Practice addresses (Care Compare)

1070 E 3Rd Ave
Truth Or Consequences, NM 87901-2602
Phone (575) 894-0485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3290NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hot Springs Physical Therapy, LLC Physical Therapist CurrentSince Oct 1, 2013 Accepting new patients
Southwest Orthopaedic Physical Therapy LLC Physical Therapist CurrentSince Jul 14, 2006 Accepting new patients

Locations

1334 Wyoming Blvd NE
Albuquerque, NM 87112
Phone (505) 292-3317

1070 E 3rd Ave
Truth Or Consequences, NM 87901
Phone (575) 894-0485

Organizations & group practices 2

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1780690941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 E. 3RD AVE.",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879012602",
            "telephone_number": "575-894-0485",
            "fax_number": "575-894-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 E. 3RD AVE.",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879012602",
            "telephone_number": "575-894-0485",
            "fax_number": "575-894-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "LESLIE",
        "middle_name": "DIANE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02823276",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM00Q572",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Truth Or Consequences, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.