Active NPI
Timothy A Lesondak, DPT
- Physical Therapist
- Orangeburg, SC
National Provider Identifier
1801113717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6091
- Practice address
- 1304 Glen Gloria St
Orangeburg, SC 29118-2538 - Phone
- (803) 937-5489
- NPI assigned
- May 1, 2010
- Last updated
- Sep 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6091 | SC | Primary |
| Physical Therapist | 225100000X | CP055651T | WA | |
| Physical Therapist | 225100000X | CP043705T | NE | |
| Physical Therapist | 225100000X | CP033471T | AZ |
Addresses
Primary practice location
1304 Glen Gloria St
Orangeburg, SC 29118-2538
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-8995
Other practice location 1
6911 Shannon Willow Rd
Suite 700
Charlotte, NC 28226-1346
Phone (704) 995-8136
Other practice location 2
45280 National Rd
Saint Clairsville, OH 43950-8787
Phone (614) 304-2123
Other practice location 3
7277 Smiths Mill Rd Ste 100
New Albany, OH 43054-8195
Phone (614) 304-2123
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12319 | NC | MD | Mental Health Counselor |
| PT020060 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1801113717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-8995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 GLEN GLORIA ST",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291182538",
"telephone_number": "803-937-5489"
}
],
"practiceLocations": [
{
"address_1": "6911 Shannon Willow Rd",
"address_2": "Suite 700",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282261346",
"country_code": "US",
"telephone_number": "704-995-8136",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "45280 National Rd",
"address_purpose": "LOCATION",
"city": "Saint Clairsville",
"state": "OH",
"postal_code": "439508787",
"country_code": "US",
"telephone_number": "614-304-2123",
"fax_number": "614-304-2111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7277 Smiths Mill Rd Ste 100",
"address_purpose": "LOCATION",
"city": "New Albany",
"state": "OH",
"postal_code": "430548195",
"country_code": "US",
"telephone_number": "614-304-2123",
"fax_number": "614-304-2111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LESONDAK",
"first_name": "TIMOTHY",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-01",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "6091",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "CP055651T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "CP043705T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "CP033471T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.