Individual provider Active NPI

Leslie Clements, PT

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1952447807
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2940 Issued in AZ
Practice address
1206 E Warner Rd
Suite C
Gilbert, AZ 85296-3132
Phone
(480) 747-8433
Fax
(480) 718-8433
NPI assigned
Jan 29, 2007
Last updated
Jan 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2940 AZ Primary
Physical Therapist 225100000X 278397-2401 UT

Addresses

Primary practice location

1206 E Warner Rd
Suite C
Gilbert, AZ 85296-3132

Mailing address

1206 E Warner Rd
Suite C
Gilbert, AZ 85296-3132
Phone (480) 747-8433

Other names 1

  • Ms. Leslie Howard Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
278397-2401UTMDPhysical Therapist
2940AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wing Neurological Rehabilitation Physical Therapist Past 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, 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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1952447807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 E WARNER RD",
            "address_2": "SUITE C",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963132",
            "telephone_number": "480-747-8433",
            "fax_number": "480-718-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 E WARNER RD",
            "address_2": "SUITE C",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963132",
            "telephone_number": "480-747-8433",
            "fax_number": "480-718-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "LESLIE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2940",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "278397-2401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "HOWARD",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.