Individual provider Active NPI

Leigh Wolk, D.P.T.

  • Physical Therapist
  • Perry, GA
National Provider Identifier
1821144239
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010254 Issued in GA
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

Updated by the provider on Jan 31, 2023

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 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

IdentifierTypeStateIssuer
891707800MedicaidFL

Other names 1

  • Miss Leigh Cabahug Cabasares Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. 2 clinicians

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

LicenseStateTypeSpecialty
PT010254GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Healthcare Inc. CurrentSince Jul 15, 2023 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.

Verify at the official NPI Registry.