Active NPI
Leslie R Benedict, PT
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1972083061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05005780A
- Practice address
- 4904 War Admiral Dr
Indianapolis, IN 46237-9737 - Phone
- (317) 884-5746
- NPI assigned
- Aug 17, 2018
- 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 | 05005780A | IN | Primary |
Addresses
Primary practice location
4904 War Admiral Dr
Indianapolis, IN 46237-9737
Mailing address
6551 Briarwood PL
Zionsville, IN 46077-8541
Phone (317) 701-6572
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05005780A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Health Care Management LLC | Physical Therapist | Current | Accepting new patients |
| Creative Health Care Management LLC | Physical Therapist | Current | Accepting new patients |
Locations
11570 E 126th St
Fishers, IN 46037
Phone (317) 349-5913
300 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-5511
10 S 9th St
Ste 4
Noblesville, IN 46060
Organizations & group practices 2
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.
-
- Physical Therapist
- Fishers, IN
- NPI 1902350457
-
- Physical Therapist
- Kansas City, KS
- NPI 1033866975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1972083061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6551 BRIARWOOD PL",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "460778541",
"telephone_number": "317-701-6572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4904 WAR ADMIRAL DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462379737",
"telephone_number": "317-884-5746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEDICT",
"first_name": "LESLIE",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-17",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05005780A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.