Active NPI
Leslie McGough
- Physical Therapist
- Doral, FL
National Provider Identifier
1962915843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT32990
- Practice address
- 8491 NW 17TH St
Doral, FL 33126 - Phone
- (305) 456-5542
- NPI assigned
- Nov 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | PT32990 | FL | Primary |
Addresses
Primary practice location
8491 NW 17TH St
Doral, FL 33126
Mailing address
1404 8TH St N
Jacksonville Beach, FL 32250-4741
Phone (904) 521-2368
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 |
|---|---|---|---|
| PT32990 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510617600000",
"number": "1962915843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 8TH ST N",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322504741",
"telephone_number": "904-521-2368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8491 NW 17TH ST",
"city": "DORAL",
"state": "FL",
"postal_code": "33126",
"telephone_number": "305-456-5542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOUGH",
"first_name": "LESLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-14",
"last_updated": "2017-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT32990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.