Individual provider Active NPI

Leslie Anne Carter, PT

  • Physical Therapist
  • Sherman Oaks, CA
National Provider Identifier
1902120959
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39755 Issued in CA
Practice address
15477 Ventura Blvd
Suite 200
Sherman Oaks, CA 91403-3006
Phone
(310) 539-8800
Fax
(310) 698-5410
NPI assigned
Mar 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 39755 CA Primary
Physical Therapist 225100000X 1193680 TX

Addresses

Primary practice location

15477 Ventura Blvd
Suite 200
Sherman Oaks, CA 91403-3006

Mailing address

15477 Ventura Blvd
Suite 200
Sherman Oaks, CA 91403-3006
Phone (310) 539-8800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231011001933 CA Practitioner - Physical Therapist in Private Practice 6901936319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Marymount University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians
Berkeley Community Physical Therapy IncGroup PAC ID 3971836578, 3 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

1834 University Ave
Berkeley, CA 94703-1516
Phone (510) 549-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Aug 4, 2025 Accepting new patients
Berkeley Community Physical Therapy Inc Physical Therapist CurrentSince Jul 31, 2023 Accepting new patients
Independent Physical Therapy Inc Physical Therapist Past Accepting new patients
Independent Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

1834 University Ave
Berkeley, CA 94703
Phone (510) 549-2225

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

Organizations & group practices 4

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": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1902120959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15477 VENTURA BLVD",
            "address_2": "SUITE 200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033006",
            "telephone_number": "310-539-8800",
            "fax_number": "310-698-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15477 VENTURA BLVD",
            "address_2": "SUITE 200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033006",
            "telephone_number": "310-539-8800",
            "fax_number": "310-698-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "LESLIE ANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39755",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1193680",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.