Active NPI
Leslie Shemain Novak, MPT
- Physical Therapist
- Lithonia, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007778
- Practice address
- 3007 Panola Rd Ste C
Lithonia, GA 30038-2492 - Phone
- (770) 987-1122
- Fax
- (770) 987-1149
- NPI assigned
- Jul 13, 2006
- Last updated
- Aug 3, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-03783 | KS | |
| Physical Therapist | 225100000X | PT007778 | GA | Primary |
Addresses
Primary practice location
3007 Panola Rd Ste C
Lithonia, GA 30038-2492
Mailing address
1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 541-5492
Other practice location 1
3641 Centerville Hwy Ste 400
Snellville, GA 30039-6594
Phone (470) 365-2135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
34 N Scribewood Cir
Spring, TX 77382-1454
7200 Cambridge St
FL 10
Houston, TX 77030-4202
PO Box
Suite 290609
Nashville, TN 37229
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT007778 | GA | MD | Physical Therapist |
| 11-03783 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Current | Accepting new patients | |
| Texas Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Baylor College of Medicine | Current | Accepting new patients | |
| Advanced PT, LLC | Past | Accepting new patients | |
| Independent Physical Therapy of Ga, LLC | Physical Therapist | Past | Accepting new patients |
Locations
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
7200 Cambridge St
Fl 6
Houston, TX 77030
Phone (713) 798-2545
180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Southlake, TX
- NPI 1790309656
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
-
dba BenchMark Physical Therapy
- Physical Therapist
- Snellville, GA
- NPI 1790200756
-
dba Advanced PT Northeast
- Physical Therapy Clinic/Center
- Wichita, KS
- NPI 1043805492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1841216199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-541-5492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3007 PANOLA RD STE C",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300382492",
"telephone_number": "770-987-1122",
"fax_number": "770-987-1149"
}
],
"practiceLocations": [
{
"address_1": "3641 Centerville Hwy Ste 400",
"address_purpose": "LOCATION",
"city": "Snellville",
"state": "GA",
"postal_code": "300396594",
"country_code": "US",
"telephone_number": "470-365-2135",
"fax_number": "470-365-2930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOVAK",
"first_name": "LESLIE",
"middle_name": "SHEMAIN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-03783",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT007778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.