| Leslie Marie Homol, PT, DPT | |
|
7482 Waterside Crossing Blvd, Denver, NC 28037-3005 | |
| (410) 579-8999 | |
| Not Available |
| Full Name | Leslie Marie Homol |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 7482 Waterside Crossing Blvd, Denver, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689344038 | NPI | - | NPPES |
| P21395 | Other | NC | PT |
| 28677 | Other | MD | PHYSICAL THERAPY LICENSE |
| 10840 | Other | SC | PHYSICAL THERAPY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P21395 (North Carolina) | Primary |
| 225100000X | Physical Therapist | 10840 (South Carolina) | Secondary |
| Provider Name | Maryland Sportscare & Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1518951995 PECOS PAC ID: 2860440427 Enrollment ID: O20151113000065 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Marie Homol, PT, DPT 2961 Legacy Ridge Ln, Catawba, NC 28609-9547 Ph: (440) 596-0469 | Leslie Marie Homol, PT, DPT 7482 Waterside Crossing Blvd, Denver, NC 28037-3005 Ph: (410) 579-8999 |
Advanced Physical Therapy Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3367-a Hwy 16 N, Denver, NC 28037 Phone: 704-489-0004 Fax: 704-489-2222 | |
Jessica Meredith Sloop, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 269 Gillman Rd Ste 200b, Denver, NC 28037 Phone: 704-316-3104 | |
Haley Wilder, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 290 N Nc 16 Business Hwy, Denver, NC 28037 Phone: 704-483-0777 Fax: 704-483-1883 | |
Chelsea Lineberger Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2320 N Nc 16 Business Hwy, Denver, NC 28037 Phone: 704-340-8045 | |
Laura Eileen Needham, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 290 N Nc 16 Business Hwy, Denver, NC 28037 Phone: 704-483-0777 Fax: 704-483-1883 | |
Amy Murray Ferrick, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 269 Gillman Rd Ste 200b, Denver, NC 28037 Phone: 704-316-3104 | |
Dr. Heather Pearson Caruolo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 275 Nc-16 Business, #203, Denver, NC 28037 Phone: 980-212-7050 Fax: 980-212-7051 |