Individual provider Active NPI

Lesli Fausnight, PT

  • Physical Therapist
  • Toledo, OH
National Provider Identifier
1841400355
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT9186 Issued in OH
Practice address
3949 Sunforest CT
Suite 101
Toledo, OH 43623-4473
Phone
(419) 474-3399
Fax
(419) 474-5165
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT9186 OH Primary

Addresses

Primary practice location

3949 Sunforest CT
Suite 101
Toledo, OH 43623-4473

Mailing address

1-293 Co. Rd. U
Liberty Center, OH 43532
Phone (419) 461-1088

Other identifiers 1

IdentifierTypeStateIssuer
2208864MedicaidOH

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
PT9186OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners Inc. CurrentSince Dec 2, 2022 Accepting new patients
MWG, Inc. Physical Therapist Past Accepting new patients

Locations

28276 Kensington Ln
Perrysburg, OH 43551
Phone (419) 491-7150

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841400355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1-293 CO. RD. U",
            "city": "LIBERTY CENTER",
            "state": "OH",
            "postal_code": "43532",
            "telephone_number": "419-461-1088",
            "fax_number": "419-474-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 SUNFOREST CT",
            "address_2": "SUITE 101",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234473",
            "telephone_number": "419-474-3399",
            "fax_number": "419-474-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUSNIGHT",
        "first_name": "LESLI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT9186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2208864",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.