Leslie Diane Wilson (NPI# 1639424799, PAC ID# 7012163066) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1639424799 |
| PAC ID by PECOS | 7012163066 |
| Professional Enrollment ID | I20181031003054 |
| Full Name | Leslie Diane Wilson |
| Organization Legal Name | SPORTS AND SPINE PHYSICAL THERAPY INC |
| Address |
3365 Richmond Rd Suite 110 Beachwood OH 44122-4171 |
| Phone Number | 2165937070 |
| Gender | F |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8729972922 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3365 Richmond Rd, Suite 110, Beachwood, OH 44122-4171 | 2165937070 | SPORTS AND SPINE PHYSICAL THERAPY INC |
| Organization Legal Name | SPORTS AND SPINE PHYSICAL THERAPY INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leon Robert Anderson Iii | Physical Therapy | Sports and Spine Physical Therapy Inc | 3365 Richmond Rd, Suite 110, Beachwood, OH 44122-4171 |
| Street Address |
3365 RICHMOND RD SUITE 110 |
| City | BEACHWOOD |
| State | OH |
| Zip | 44122-4171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leon Robert Anderson Iii | Physical Therapy | Sports and Spine Physical Therapy Inc | 3365 Richmond Rd, Suite 110, Beachwood, OH 44122-4171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathaniel T Dore | Nurse Practitioner | Rajesh Agarwal Md, LLC | 4200 Warrensville Ct Rd, Warrensville Heights, OH 44122 |
| Barbara A Moseley | Nurse Practitioner | University Hospitals Medical Group Inc | 3619 Park E Dr, Beachwood, OH 44122 |
| Harold L Blumenthal | Dermatology | 3619 Park E Dr, Suite 209b, Beachwood, OH 44122 | |
| Jerome Z Litt | Dermatology | Drs. J. Z. Litt and H. L. Blumenthal, Inc. | 3619 Park E Dr, Suite 209b, Beachwood, OH 44122 |
| Elizabeth A Hight | Nurse Practitioner | Rajesh Agarwal Md, LLC | 4200 Warrensville Ct Rd, Warrensville Heights, OH 44122 |
| Raisa A Lerner | Internal Medicine | Rajesh Agarwal Md, LLC | 4200 Warrensville Ct Rd, Warrensville Heights, OH 44122 |
| Kayla Elizabeth Aiosa | Nurse Practitioner | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Beejadi N Mukunda | Internal Medicine | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Rajesh Agarwal | Internal Medicine | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Nicholas U Ahn | Orthopedic Surgery | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Find all physicians in zip 44122 | |||
| City | BEACHWOOD |
| Zip Code | 44122 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BEACHWOOD + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Leslie Diane Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.