Leslie Barrack, PT
Individual provider Active NPI Physical Therapist · Hermitage, TN
NPI 1922052497 · NPPES record last updated Feb 9, 2023
Key facts
- NPI
- 1922052497
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 10218 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
2325 Crestmoor Rd
Suite P1
Nashville, TN 37215-2051
Phone (615) 942-9050
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190130002878 | TN | Practitioner - Physical Therapist in Private Practice | 0547274672 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10218 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Sports Medicine and Orthopaedic Center, PLC | Current |
Accepting new patients | |
| Elite Sports Medicine and Orthopaedic Center, PLC | Current |
Accepting new patients | |
| Results-Ast JV, LLC | Physical Therapist | Current |
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
2325 Crestmoor Rd
Ste P1
Nashville, TN 37215
Phone (615) 942-9050
2004 Hayes St
Ste 200
Nashville, TN 37203
Phone (615) 284-2000
2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080
Interoperability endpoints
- https://app.meldrx.com/api/fhir/Freedom_IBJI
- https://epicproxy.et1195.epichosted.com/fhirproxy/api/FHIR/R4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10218 | TN | Yes |
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
2041 Overhill Dr Ste 100
Nashville, TN 37215-3455
Phone (615) 391-4545
Other practice location 2
1018 W Main St
Lebanon, TN 37087-3656
Phone (615) 391-4545
Other practice location 3
300 Stonecrest Blvd Ste 230
Smyrna, TN 37167-6800
Phone (615) 391-4545
Other practice location 4
3500 N Mount Juliet Rd Ste 205
MT Juliet, TN 37122-3018
Phone (615) 391-4545
Other providers in Hermitage, TN
- Hannah Callaway Baisley
- Sarah Baker
- Klhee Bang
- Sunny Chandravadan Bant
- Brianna Barkey
- Bartley H Benson DDS Ms PC
- Deena Leigh Bartley-Zucco
- Cheryl Anne Basham
- Holly Alice Bathen
- Malcom E Baxter
All providers in Hermitage, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.