Tara Leszczewicz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070011844 Issued in IL

Practice address

1010 Executive Dr
Suite 250
Westmont, IL 60559-6135

Phone

(630) 655-8785

Fax

(630) 655-2759

NPI assigned

Jun 18, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Miss Tara M Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1992740492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 EXECUTIVE DR",
            "address_2": "SUITE 250",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605596135",
            "telephone_number": "630-655-8785",
            "fax_number": "630-655-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESZCZEWICZ",
        "first_name": "TARA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2000146164",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "WILLIAMS",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fei-Jen L Lee, M.S., D.D.S.
• Stephen Sheng-Hao Lee, D.D.S., PH.D.
• Christine Niknam Leilabadi, DMD
• Laura Lejins, PHARMD
• Michael Scott Lennie, OT
• Marijo Letizia, ANP
• Jonathan Levine, MD
• Alicia Lew, PA-C
• Life in Balance Healthcare & Wellness, Inc.
• Lifeline Transportation LLC

• Physical Therapist in Westmont, IL
• Providers in Westmont, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.