LESLIE JACOBS (NPI# 1043320757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043320757 |
| Entity Type | Individual |
| Full Name | LESLIE JACOBS |
| Practice Address |
12 Industrial Pkwy Brunswick ME 04011-7314 |
| Mailing Address |
844 River Rd Brunswick ME 04011-7112 |
| Practice Telephone | 2077294998 |
| Mailing Telephone | 2077258953 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | LICENSE # | PA1163 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720115058 | Leslie J Jacobs | Dentist | 113 Rue Fontaine, Lafayette, LA 70508 | 2007-02-27 |
| 1093868101 | Leslie P. Jacobs | Social Worker | 547 Saw Mill River Rd Ste Ll1, Ardsley, NY 10502-2155 | 2007-01-19 |
| 1891805677 | Leslie T Jacobs | Dentist | 811 East Main Street, Spartanburg, SC 29302 | 2006-08-30 |
| 1700420163 | Leslie Jacobs | Marriage & Family Therapist | 1303 San Carlos Ave, San Carlos, CA 94070-2317 | 2019-10-29 |
| 1952504292 | Leslie C. Jacobs | Nurse Anesthetist, Certified Registered | 901 E 5th St, Washington, MO 63090-3127 | 2007-06-06 |
| 1356494942 | Leslie Ann Jacobs | Social Worker | 1956 Ohio Ave, Connersville, IN 47331-2858 | 2007-01-19 |
| 1770644684 | Leslie Jacobs | Specialist | 1509 Atkinson Rd, Suite 1100, Lawrenceville, GA 30043-7986 | 2006-12-13 |
| 1831262393 | Leslie Jacobs | Internal Medicine | 1389 Galleria Dr, Suite 100, Henderson, NV 89014-6685 | 2006-11-15 |
| Street Address |
12 INDUSTRIAL PKWY |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-7314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508393786 | Folsom Physical Therapy, LLC | Physical Therapist | 12 Industrial Pkwy, Brunswick, ME 04011-7314 | 2017-05-18 |
| 1760927792 | Therapia - Mary Penner, PC | Nursing Facility/Intermediate Care Facility | 12 Industrial Pkwy, Brunswick, ME 04011-7314 | 2016-12-29 |
| 1790011393 | Mary Jo Penner | Nurse Practitioner | 12 Industrial Pkwy, Brunswick, ME 04011-3310 | 2009-11-02 |
| 1023103512 | Cynthia J Folsom | Physical Therapist | 12 Industrial Pkwy, Brunswick, ME 04011-7314 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093295354 | Paige Mchugh | Physical Therapy Assistant | 406 Keyte St, Brunswick, MO 65236-1036 | 2018-08-16 |
| 1558807453 | Kyle Peck | Physical Therapy Assistant | 690 Helen Ave, Brunswick, OH 44212-6265 | 2017-01-16 |
| 1669838934 | Christina Bates | Physical Therapy Assistant | 184 Ratcliffe Rd, Brunswick, GA 31523-7421 | 2016-01-02 |
| 1881925592 | Kelly Danielle Wagner | Physical Therapy Assistant | 226 Fish Hall Rd, Brunswick, GA 31523-7405 | 2010-01-20 |
| 1598995474 | Laureen Katherine Krakowski | Physical Therapy Assistant | 212 Fancy Bluff Cir, Brunswick, GA 31523-6307 | 2009-07-25 |
| 1235341983 | Susan Finette Shaw | Physical Therapy Assistant | 3724 Center Road, Suite 109, Brunswick, OH 44212 | 2007-05-04 |
| 1649890138 | Catherine Marie Helldorfer | Physical Therapy Assistant | 29 Maurice Dr, Brunswick, ME 04011-3270 | 2020-04-24 |
| 1710522420 | Amanda M Balch | Physical Therapy Assistant | 14 Thomas Point Rd, Brunswick, ME 04011-3911 | 2019-11-18 |
| 1922595917 | Marcia Beauchamp | Physical Therapy Assistant | 1106 Fountain Park Cir, Brunswick, GA 31520-4806 | 2018-04-16 |
| 1912393331 | Mackenzie Wheeler | Physical Therapy Assistant | 29 Maurice Dr, Brunswick, ME 04011-3270 | 2015-04-13 |
| Find all providers in BRUNSWICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.