Active NPI
Leigh Wolk, D.P.T.
- Physical Therapist
- Perry, GA
National Provider Identifier
1821144239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010254
- Practice address
- 1020 Keith Dr
Perry, GA 31069-2947 - Phone
- (478) 224-2209
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT010254 | GA | Primary |
Addresses
Primary practice location
1020 Keith Dr
Perry, GA 31069-2947
Mailing address
1020 Keith Dr
Perry, GA 31069-2947
Phone (478) 224-2209
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891707800 | Medicaid | FL |
Other names 1
- Miss Leigh Cabahug Cabasares
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230821003368 | GA | Practitioner - Physical Therapist in Private Practice | 6002278124 | Reassigns benefits to 1 organization |
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
- Cornerstone Healthcare Inc.
Practice addresses (Care Compare)
1020 Keith Dr
Perry, GA 31069-2947
Phone (478) 224-2209
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT010254 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Healthcare Inc. | Current | Accepting new patients |
Locations
1020 Keith Dr
Perry, GA 31069
Phone (478) 224-2209
Organizations & group practices 1
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": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1821144239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 KEITH DR",
"city": "PERRY",
"state": "GA",
"postal_code": "310692947",
"telephone_number": "478-224-2209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 KEITH DR",
"city": "PERRY",
"state": "GA",
"postal_code": "310692947",
"telephone_number": "478-224-2209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLK",
"first_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891707800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEIGH",
"last_name": "CABASARES",
"middle_name": "CABAHUG",
"prefix": "MISS",
"credential": "D.P.T",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Perry, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.