Individual provider Active NPI

Timothy A Lesondak, DPT

  • Physical Therapist
  • Orangeburg, SC
National Provider Identifier
1801113717
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6091 Issued in SC
Practice address
1304 Glen Gloria St
Orangeburg, SC 29118-2538
Phone
(803) 937-5489
NPI assigned
May 1, 2010
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
12319NCMDMental Health Counselor
PT020060PAMDPhysical 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.

Verify at the official NPI Registry.