Active NPIIndividual provider

Leslie D Faddis, PT

Physical Therapist in Gt Barrington, Massachusetts

NPI Number1568440162
Practice location
789 Main St Ste 4, Great Barrington Physical Therapy, INC., Gt Barrington, MA 01230-2217
Fax
413-528-6123
Last updated
October 17, 2012

Leslie D Faddis is a Physical Therapist based in Gt Barrington, MA. Leslie D Faddis practices in Gt Barrington, MA and has the professional credentials of PT. The NPI Number for Leslie D Faddis is 1568440162 and holds a License No. 8549 (MA). The current practice location address for Leslie D Faddis is 789 Main St Ste 4, Great Barrington Physical Therapy, INC., Gt Barrington, MA 01230-2217 and can be reached out via phone at 413-528-0929 and via fax at 413-528-6123.

Provider Profile Details

NPI Number
1568440162
Provider Name
Leslie D Faddis
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
789 Main St Ste 4, Great Barrington Physical Therapy, INC., Gt Barrington, MA 01230-2217
Phone Number
413-528-0929
Fax Number
413-528-6123
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Other Names
-- Leslie Madison-Herrick (Former Name)
Provider Enumeration Date
January 4, 2006
Last Update Date
October 17, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
789 Main St Ste 4
Great Barrington Physical Therapy, INC.
Gt Barrington, MA 01230-2217
Zip
01230-2217
Phone Number
413-528-0929
Fax Number
413-528-6123
Gt Barrington, MA 01230Get directions →

Provider Business Mailing Address Details

Address
789 Main St Ste 4
Great Barrington Physical Therapy, INC.
Gt Barrington, MA 01230-2217
City
Gt Barrington
State
MA
Zip
01230-2217
Phone Number
413-528-0929
Fax Number
413-528-6123

License Information

License Number
8549
License State
MA
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Leslie D Faddis, PT?

The NPI number of Leslie D Faddis, PT is 1568440162. It was assigned on January 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Leslie D Faddis, PT?

Leslie D Faddis, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 8549.

Where does Leslie D Faddis, PT practice?

The practice location is 789 Main St Ste 4, Great Barrington Physical Therapy, INC., Gt Barrington, MA 01230-2217. The office can be reached at 413-528-0929 (phone) or 413-528-6123 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568440162 directly on the NPPES registry website.

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