MS. LESLIE ANN WILDER (NPI# 1235380858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235380858 |
| Entity Type | Individual |
| Full Name | MS. LESLIE ANN WILDER |
| Other Name | LESLIE ANN ROOTBERG |
| Credential | P.T. |
| Practice Address |
374 5th Ave. Brooklyn NY 11215 |
| Mailing Address |
223 Bergen St. Brooklyn NY 11217 |
| Practice Telephone | 7184995238 |
| Mailing Telephone | 7182430783 |
| Mailing Fax Number | 7182430783 |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
002960-1 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194164459 | Leslie Brodie Wilder | Counselor | 2029 S 17th St, Wilmington, NC 28401-6600 | 2013-06-20 |
| Street Address |
374 5TH AVE. |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493584 | Lakshmi Menon | Student in an Organized Health Care Education/Training Program | 506 6th Street, New York-presbyterian Brooklyn Methodis, Brooklyn, NY 11215 | 2020-06-26 |
| 1083234785 | Yalda Hazrat | Student in an Organized Health Care Education/Training Program | 5066th Street, Brooklyn, NY 11215 | 2020-04-22 |
| 1548815384 | Brittany Dalbow | Counselor | 732 Carroll Street, Garden Apt, Brooklyn, NY 11215 | 2019-08-08 |
| 1669032504 | Bilal Ghassan Jaradat | Student in an Organized Health Care Education/Training Program | 506 6th St, Nyp Brooklyn Methodist Hospital, Brooklyn, NY 11215 | 2019-06-13 |
| 1598322547 | Abeer Ashfaq | Student in an Organized Health Care Education/Training Program | 506 6th Street, New York Presbyterian Brooklyn Methodis, Room 3113, Brooklyn, NY 11215 | 2019-05-24 |
| 1508422809 | Racha Cassard | Student in an Organized Health Care Education/Training Program | Nyp Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 | 2019-05-13 |
| 1972066884 | Nourhan Arafa Kika | Student in an Organized Health Care Education/Training Program | Nyp Brooklyn Methodist Hospital 506 6th St, New York - Brooklyn, NY 11215 | 2019-04-08 |
| 1891258703 | Mountasir El-tohami | Student in an Organized Health Care Education/Training Program | New York-presbyterian Brooklyn Methodist Hospital, 506 Sixth Street, Brooklyn, NY 11215 | 2019-04-08 |
| 1386106938 | Anita Krish | Student in an Organized Health Care Education/Training Program | Newyork-presbyterian Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 | 2019-04-03 |
| 1497237549 | Elizabeth Hopkins | Social Worker | 439 9th Street, Suite 1a, Brooklyn, NY 11215 | 2018-09-05 |
| Find all providers in zip 11215 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202404 | Mobility Health Physical Therapy | Clinic/Center | 10545 Avenue M, Brooklyn, NY 11236-4603 | 2020-10-16 |
| 1952917726 | Mauro Woods | Clinic/Center | 974 Greene Ave Apt 4a, Brooklyn, NY 11221-6313 | 2020-09-17 |
| 1003430018 | Kenefick Physical Therapy Pllc | Clinic/Center | 112 Noel Ave, Brooklyn, NY 11229-6421 | 2020-06-05 |
| 1740742097 | Tara Knutsen, Pt, P.C. | Clinic/Center | 346 Senator St, Brooklyn, NY 11220-5311 | 2019-04-04 |
| 1386106128 | Standard Care P.t. P.C. | Clinic/Center | 333 Greene Ave # Store339, Brooklyn, NY 11238-2295 | 2019-04-02 |
| 1467937961 | Metropolis Physical Therapy Pllc | Clinic/Center | 585 Bushwick Ave, Brooklyn, NY 11206-4628 | 2018-10-01 |
| 1194217216 | Kambiz Raoufian Physical Therapy Pllc | Clinic/Center | 2176 New York Ave, Brooklyn, NY 11210 | 2018-06-04 |
| 1427584630 | Equinox Physical Therapy, PC | Clinic/Center | 407 Rockaway Avenue, 2nd Floor, Brooklyn, NY 11212 | 2017-05-08 |
| 1588195408 | Spring Rehab Pt, PC. | Clinic/Center | 8881 24th Ave, 2nd Fl, Brooklyn, NY 11214-6501 | 2017-03-22 |
| 1053859207 | American Medical Company | Clinic/Center | 1671 W 10th St, Brooklyn, NY 11223-1104 | 2017-02-08 |
| Find all providers in BROOKLYN | ||||
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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.