Active NPI
Susan Denise Leslie, RPT
- Physical Therapist
- Dover, NH
National Provider Identifier
1962520262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1076
- Practice address
- 195 Dover Point Rd
Dover, NH 03820-4612 - Phone
- (603) 742-2612
- NPI assigned
- Mar 26, 2007
- 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 | 1076 | NH | Primary |
Addresses
Primary practice location
195 Dover Point Rd
Dover, NH 03820-4612
Mailing address
16 Heritage Dr
Rollinsford, NH 03869-5102
Phone (603) 749-6122
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1076 | NH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962520262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 HERITAGE DR",
"city": "ROLLINSFORD",
"state": "NH",
"postal_code": "038695102",
"telephone_number": "603-749-6122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 DOVER POINT RD",
"city": "DOVER",
"state": "NH",
"postal_code": "038204612",
"telephone_number": "603-742-2612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESLIE",
"first_name": "SUSAN",
"middle_name": "DENISE",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "1076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.