Active NPI
Leslie Barrack, PT
- Physical Therapist
- Hermitage, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10218
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| 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
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
- https://app.meldrx.com/api/fhir/Freedom_IBJI
- 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.
-
- Physical Therapist
- Franklin, TN
- NPI 1780291948
-
- Specialist
- Nashville, TN
- NPI 1528281623
-
- Orthopaedic Surgery Physician
- Brentwood, TN
- NPI 1669115622
-
- Orthopaedic Surgery Physician
- Morton Grove, IL
- NPI 1144269051
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.