Leslie J Herman, PT
Individual provider Active NPI Physical Therapist · Isleta, NM
NPI 1972699437 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1972699437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1699 (NM)
- Practice address
- 01 Sagebrush St
Isleta, NM 87022-0000 - Phone
- (505) 869-4863
- Fax
- (505) 869-4572
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pueblo of Isleta | Past | Accepting new patients | |
| Pueblo of Isleta | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1699 | NM | Yes |
Addresses
Primary practice location
01 Sagebrush St
Isleta, NM 87022-0000
Mailing address
PO Box 640
Isleta, NM 87022-0000
Phone (505) 869-4863
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699 | Other | NM | STATE PT LICENSE |
Other providers in Isleta, NM
- Roseann Garcia
- Devin Kyle Giron
- Juan J Gutierrez
- Nancy M Halonen
- Merel Hancock
- Jon Hernandez
- Stephen Hubbert
- Isleta Elderly Services
- Kissendrah Sue Johnson
- Shirley I Jojola
All providers in Isleta, NM · Physical Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.