LESLIE DIANE WILSON PT
NPI 1639424799
Physical Therapist in Southaven, MS

Active since July 16, 2012Accepts Medicare Assignment
86.09/100
CMS Quality Rating
3451 GOODMAN RD E STE 108, SOUTHAVEN, MS 38672(662) 890-6953(662) 890-6954 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Leslie Diane Wilson Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLIE DIANE WILSON PT (NPI 1639424799) is an individual physical therapist in Southaven, Mississippi, licensed in Mississippi (PT5223) and active in the NPI registry since July 2012. She maintains 3 additional practice locations and is a graduate of Northeastern Ohio University College Of Medicine (2012).

NPPES Registry Identity

NPI1639424799
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameLESLIE DIANE WILSONCredential: PT
Location Address3451 GOODMAN RD E STE 108Southaven, MS 38672-9305
Mailing Address800 Crescent Centre Dr Ste 600Franklin, TN 37067-7286 · (615) 373-1350 · Fax (615) 221-9054
Fax(662) 890-6954
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2012
Enumeration DateJuly 16, 2012
Last NPPES UpdateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
NPI 1639424799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in MS · PT5223 Licensed in OH · PT017702
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License PT017702 (OH)
3451 GOODMAN RD E STE 108, Southaven, MS 38672

Secondary Practice Locations 3

Location 18066 Walnut Run Rd, Suite 203Cordova, TN 38018-8841 · Phone (901) 759-9210 · Fax (901) 759-9138
Location 245280 National RdSaint Clairsville, OH 43950-8787 · Phone (740) 247-7955 · Fax (614) 304-2111
Location 37277 Smiths Mill Rd Ste 100New Albany, OH 43054-8195 · Phone (614) 304-2123 · Fax (614) 304-2111

Other Identifiers 1

Medicaid0317629OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Leslie Diane Wilson Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012163066
PECOS Enrollment IDI20181031003054

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
75 services24 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
50 services21 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
43 services13 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
24 services13 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38672 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.42
Promoting Interoperability99
Improvement Activities40
Cost80.04

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
3451 GOODMAN RD E STE 108
SOUTHAVEN, MS 38672
Occupational Therapist
3451 GOODMAN RD E STE 108
SOUTHAVEN, MS 38672
Physical Therapist
3451 GOODMAN RD E STE 108
SOUTHAVEN, MS 38672
Physical Therapist
3451 GOODMAN RD E STE 108
SOUTHAVEN, MS 38672
Physical Therapist
3451 GOODMAN RD E STE 108
SOUTHAVEN, MS 38672
Physical Therapist
3451 GOODMAN RD E STE 108
SOUTHAVEN, MS 38672
Physical Therapist
3451 GOODMAN RD E STE 108
SOUTHAVEN, MS 38672

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Wilson's NPI number?

The NPI number for Leslie Wilson is 1639424799. It was assigned to this individual provider in the NPPES registry on July 16, 2012.

Where is Leslie Wilson located?

Leslie Wilson practices at 3451 Goodman Rd E Ste 108, Southaven, MS 38672. The listed phone number is (662) 890-6953.

What is Leslie Wilson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Leslie Wilson enrolled in Medicare?

Yes. Leslie Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Leslie Wilson accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Leslie Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leslie Wilson was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.