LEYTH FENTON – Physical Therapist, NPI 1144784414

LEYTH FENTON is a healthcare provider. based in Bolingbrook, Illinois. specializing in Physical Therapist. They hold a License No. 070024154 (IL). The NPI Number for LEYTH FENTON is 1144784414

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
LEYTH FENTON
NPI
1144784414
Phone
(630) 296-2222
Address
790 REMINGTON BLVD
Enumeration Date
30 January 2019
Last Update Date
30 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6188470205
Graduation Year
2018 (8 years ago)
PAC ID
4789923483
Group Practice PAC ID
4183692577
Professional Enrollment ID
I20190225000677
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for LEYTH FENTON

  • 790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States

    BOLINGBROOK, IL 604404909

    Phone: (630) 296-2222

    Type: Mailing

  • Commerce Drive, Black Rock, Bridgeport, Fairfield County, Connecticut, 06825, United States

    FAIRFIELD, IL 628372364

    Phone: (618) 847-0205

    Fax: (618) 847-0207

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60440)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183692577View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
-IL

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Frequently asked questions

What NPI should I save for LEYTH FENTON?
Save NPI 1144784414 if you need a stable reference for LEYTH FENTON.
Is LEYTH FENTON active in the national directory?
LEYTH FENTON's public NPI profile is in an active state.
What kind of provider is LEYTH FENTON?
The page reflects Physical Therapist for LEYTH FENTON. Clinical services aligned with this taxonomy classification.
What location metadata exists for LEYTH FENTON?
The page summarizes Bolingbrook, Illinois for LEYTH FENTON; expand the address list for detail.
How can I contact LEYTH FENTON?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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