Individual provider Active NPI

Leslie Barrack, PT

  • Physical Therapist
  • Hermitage, TN
National Provider Identifier
1922052497
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10218 Issued in TN
Practice address
302 Old Lebanon Dirt Rd Ste 100
Hermitage, TN 37076-2390
Phone
(615) 391-4545
Fax
(615) 391-4546
NPI assigned
May 20, 2006
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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 10218 TN Primary

Addresses

Primary practice location

302 Old Lebanon Dirt Rd Ste 100
Hermitage, TN 37076-2390

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

3500 N Mount Juliet Rd Ste 205
MT Juliet, TN 37122-3018
Phone (615) 391-4545

Other practice location 2

1018 W Main St
Lebanon, TN 37087-3656
Phone (615) 391-4545

Other practice location 3

2041 Overhill Dr Ste 100
Nashville, TN 37215-3455
Phone (615) 391-4545

Other practice location 4

300 Stonecrest Blvd Ste 230
Smyrna, TN 37167-6800
Phone (615) 391-4545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190130002878 TN Practitioner - Physical Therapist in Private Practice 0547274672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Louisville School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Results-Ast JV LLCGroup PAC ID 4486066396, 390 clinicians

Practice addresses (Care Compare)

2325 Crestmoor Rd
Suite P1
Nashville, TN 37215-2051
Phone (615) 942-9050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10218TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Sports Medicine and Orthopaedic Center, PLC CurrentSince Nov 18, 2018 Accepting new patients
Elite Sports Medicine and Orthopaedic Center, PLC CurrentSince Nov 18, 2018 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Sep 24, 2023 Accepting new patients
Illinois Bone and Joint Institute Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2004 Hayes St
Ste 200
Nashville, TN 37203
Phone (615) 284-2000

2325 Crestmoor Rd
Ste P1
Nashville, TN 37215
Phone (615) 942-9050

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_IBJI
  • FHIR API: https://epicproxy.et1195.epichosted.com/fhirproxy/api/FHIR/R4/

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, 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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1922052497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018",
            "fax_number": "615-851-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 OLD LEBANON DIRT RD STE 100",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762390",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 N Mount Juliet Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "MT Juliet",
            "state": "TN",
            "postal_code": "371223018",
            "country_code": "US",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1018 W Main St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370873656",
            "country_code": "US",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2041 Overhill Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372153455",
            "country_code": "US",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Stonecrest Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676800",
            "country_code": "US",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRACK",
        "first_name": "LESLIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.