Individual provider Active NPI

Lisa Michelle McIntosh-Leach, LPT

  • Home Health Agency
  • Joliet, IL
National Provider Identifier
1780816124
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
070008898 Issued in IL
Practice address
3320 Executive Dr
Joliet, IL 60431-8433
Phone
(815) 730-1370
Fax
(815) 730-1517
NPI assigned
Aug 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 070008898 IL Primary

Addresses

Primary practice location

3320 Executive Dr
Joliet, IL 60431-8433

Mailing address

3320 Executive Dr
Joliet, IL 60431-8433
Phone (815) 730-1370

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241230003007 IL Practitioner - Physical Therapist in Private Practice 1052848256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Oasis Therapy Services LLCGroup PAC ID 8325427974, 73 clinicians

Practice addresses (Care Compare)

605 Edward Dr
Romeoville, IL 60446-6507
Phone (630) 863-7772

8170 McCormick Blvd
Suite 112
Skokie, IL 60076-2914
Phone (920) 252-4442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc CurrentSince Nov 1, 2024 Accepting new patients
Legacy Healthcare Services Inc CurrentSince Nov 1, 2024 Accepting new patients

Locations

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1780816124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 EXECUTIVE DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318433",
            "telephone_number": "815-730-1370",
            "fax_number": "815-730-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 EXECUTIVE DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318433",
            "telephone_number": "815-730-1370",
            "fax_number": "815-730-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH-LEACH",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-19",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "070008898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.