Individual provider Active NPI

Leslie Humes, PTA

  • Physical Therapy Assistant
  • Sacramento, CA
National Provider Identifier
1902184427
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
AT9674 Issued in CA
Practice address
9500 Micron Ave
Suite 106
Sacramento, CA 95827-2617
Phone
(916) 362-7962
NPI assigned
Aug 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A1465 MN
Physical Therapy Assistant 225200000X 08744 OR
Physical Therapy Assistant 225200000X AT9674 CA Primary

Addresses

Primary practice location

9500 Micron Ave
Suite 106
Sacramento, CA 95827-2617

Mailing address

4981 Toronto Way
Sacramento, CA 95820-6238
Phone (218) 393-7724

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AT9674CAMDPhysical Therapy Assistant
A1465MNMDPhysical Therapy Assistant
08744ORMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Results Physical Therapy and Training Center Inc. PastSince Mar 1, 2013 Accepting new patients

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": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1902184427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4981 TORONTO WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958206238",
            "telephone_number": "218-393-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MICRON AVE",
            "address_2": "SUITE 106",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272617",
            "telephone_number": "916-362-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMES",
        "first_name": "LESLIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A1465",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "08744",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT9674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.