Active NPI
Leigh Fliedner Bales, MSPT
- Physical Therapist
- Carbondale, PA
National Provider Identifier
1982738902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011835L
- Practice address
- 10 Hart PL
Carbondale, PA 18407-1593 - Phone
- (570) 282-5264
- NPI assigned
- Mar 14, 2007
- Last updated
- Jul 8, 2007
- 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 | PT011835L | PA | Primary |
Addresses
Primary practice location
10 Hart PL
Carbondale, PA 18407-1593
Mailing address
172 Poor Farm Rd
Greenfield Township, PA 18407-4021
Phone (570) 282-5815
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 |
|---|---|---|---|
| PT011835L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982738902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 POOR FARM RD",
"city": "GREENFIELD TOWNSHIP",
"state": "PA",
"postal_code": "184074021",
"telephone_number": "570-282-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HART PL",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "184071593",
"telephone_number": "570-282-5264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALES",
"first_name": "LEIGH",
"middle_name": "FLIEDNER",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT011835L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carbondale, PA
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.