Individual provider Active NPI

Leslie J Svensson, PT, DPT, GCS

  • Physical Therapist
  • Niagara Falls, NY
National Provider Identifier
1801098074
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014307-1 Issued in NY
Practice address
2440 River Rd
Niagara Falls, NY 14304-3737
Phone
(716) 472-8537
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 014307-1 NY Primary

Addresses

Primary practice location

2440 River Rd
Niagara Falls, NY 14304-3737

Mailing address

2440 River Rd
Niagara Falls, NY 14304-3737
Phone (716) 472-8537

Other identifiers 1

IdentifierTypeStateIssuer
NY 014307-1OtherNYSTATE LICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
014307-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801098074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 RIVER RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043737",
            "telephone_number": "716-472-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 RIVER RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043737",
            "telephone_number": "716-472-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVENSSON",
        "first_name": "LESLIE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT, GCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014307-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "NY 014307-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.