Individual provider Active NPI

Leslie Shisler Lee, PT

  • Physical Therapist
  • West Jordan, UT
National Provider Identifier
1952535478
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
120485-2401 Issued in UT
Practice address
3181 West 9000 South #103
West Jordan, UT 84088-8623
Phone
(801) 561-1061
Fax
(801) 561-1570
NPI assigned
May 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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 120485-2401 UT Primary

Addresses

Primary practice location

3181 West 9000 South #103
West Jordan, UT 84088-8623

Mailing address

3181 West 9000 South #103
West Jordan, UT 84088-8623
Phone (801) 561-1061

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
120485-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Davis Psychological Services CurrentSince Feb 1, 2019 Accepting new patients
Brian J. Rodriguez, PT, PC Physical Therapist PastSince Dec 3, 2007 Accepting new patients
Excel Rehab Therapy LLC Physical Therapist Past Accepting new patients

Locations

520 N Market Place Dr
Ste 200
Centerville, UT 84014
Phone (801) 243-6822

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1952535478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 WEST 9000 SOUTH #103",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888623",
            "telephone_number": "801-561-1061",
            "fax_number": "801-561-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 WEST 9000 SOUTH #103",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888623",
            "telephone_number": "801-561-1061",
            "fax_number": "801-561-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LESLIE",
        "middle_name": "SHISLER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "120485-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.