Individual provider Active NPI

Leslie Chesson Wolff, PT

  • Pediatric Physical Therapist
  • Greensboro, NC
National Provider Identifier
1912083312
Registry record updated Mar 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
2044 Issued in NC
Practice address
5 Dundas Cir Ste B
Greensboro, NC 27407-1638
Phone
(336) 294-3338
Fax
(336) 294-6696
NPI assigned
Oct 27, 2006
Last updated
Mar 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 2044 NC Primary

Addresses

Primary practice location

5 Dundas Cir Ste B
Greensboro, NC 27407-1638

Mailing address

7402 Cornus CT
Summerfield, NC 27358-9514
Phone (336) 294-3338

Other identifiers 2

IdentifierTypeStateIssuer
7210535MedicaidNC
079HFOtherNCBCBSNC PT

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Access Therapy Services, Inc Pediatrics CurrentSince Mar 21, 2021 Accepting new patients

Locations

5 Dundas Cir
Ste B
Greensboro, NC 27407
Phone (336) 294-3338

5 Dundas Cir
Ste Bcd
Greensboro, NC 27407
Phone (336) 294-3338

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, 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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615680000000",
    "number": "1912083312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 CORNUS CT",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589514",
            "telephone_number": "336-294-3338",
            "fax_number": "336-294-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DUNDAS CIR STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071638",
            "telephone_number": "336-294-3338",
            "fax_number": "336-294-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "LESLIE",
        "middle_name": "CHESSON",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2021-03-14",
        "certification_date": "2021-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "2044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7210535",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PT",
            "identifier": "079HF",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2021; 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.