| Connor Leishman, DPT | |
|
691 E Bidwell St, Folsom, CA 95630-3120 | |
| (916) 572-6162 | |
| Not Available |
| Full Name | Connor Leishman |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 691 E Bidwell St, Folsom, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366272528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 306417 (California) | Primary |
| Provider Name | Mac Performance Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1366162950 PECOS PAC ID: 7810365608 Enrollment ID: O20221129002082 |
| Mailing Address | Practice Location Address |
|---|---|
| Connor Leishman, DPT 12499 Folsom Blvd Apt 152, Rancho Cordova, CA 95742-6431 Ph: (435) 535-5089 | Connor Leishman, DPT 691 E Bidwell St, Folsom, CA 95630-3120 Ph: (916) 572-6162 |
Mrs. Michele Elaine Downs, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 990 Riley St, Folsom, CA 95630 Phone: 916-355-1250 Fax: 916-933-0871 | |
Mr. Matthew Alan Smith, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1635 Creekside Dr, Suite 101, Folsom, CA 95630 Phone: 916-983-5611 Fax: 916-983-5615 | |
Kari Marie Giampaoli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 E Bidwell St, 201, Folsom, CA 95630 Phone: 916-983-5915 Fax: 916-983-5925 | |
Jake Vicera, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 E Bidwell St, Ste. 201, Folsom, CA 95630 Phone: 916-983-5915 | |
Jacob Calkins, Physical Therapist Medicare: Medicare Enrolled Practice Location: 50 Iron Point Cir Ste 100, Folsom, CA 95630 Phone: 916-836-1111 | |
Mr. William J. Garcia, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Natoma Street, Folsom, CA 95630 Phone: 916-355-8500 Fax: 530-887-8112 | |
Collins Wong, Physical Therapist Medicare: Medicare Enrolled Practice Location: 14881 Auburn Summit Dr, Folsom, CA 95630 Phone: 408-515-5530 |