MRS. LISA MICHELLE MCINTOSH-LEACH (LPT) – Home Health Agency, NPI 1780816124

MRS. LISA MICHELLE MCINTOSH-LEACH (LPT) is a healthcare provider. based in Joliet, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials LPT. They hold a License No. 070008898 (IL). The NPI Number for MRS. LISA MICHELLE MCINTOSH-LEACH (LPT) is 1780816124

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LISA MICHELLE MCINTOSH-LEACH (LPT)
NPI
1780816124
Phone
(815) 730-1370
Address
3320 EXECUTIVE DR
Enumeration Date
19 August 2009
Last Update Date
19 August 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6308637772
Graduation Year
1994 (32 years ago)
PAC ID
1052848256
Group Practice PAC ID
2163339722
Professional Enrollment ID
I20241230003007
Address ID
IL604466507RO605XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for MRS. LISA MICHELLE MCINTOSH-LEACH (LPT)

  • 3320, Executive Drive, Joliet, Will County, Illinois, 60431, United States

    JOLIET, IL 604318433

    Phone: (815) 730-1370

    Fax: (815) 730-1517

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241230003007IPhysical Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 60431)

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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: 2163339722View full group profile
NameSpecialtyState
Internal MedicineVA
-NY
Nurse PractitionerMI
Family PracticeTX
Physician AssistantNC
Internal Medicine, Geriatric MedicineNC
Qualified Speech Language PathologistOK
Occupational Therapist In Private PracticeNC
Internal MedicineNC
Internal MedicineNC

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. LISA MICHELLE MCINTOSH-LEACH (LPT)?
MRS. LISA MICHELLE MCINTOSH-LEACH (LPT) — NPI 1780816124 — is the standard way to identify this listing.
Can I rely on MRS. LISA MICHELLE MCINTOSH-LEACH (LPT) being an active provider?
As of the registry snapshot, MRS. LISA MICHELLE MCINTOSH-LEACH (LPT) is marked active.
What is MRS. LISA MICHELLE MCINTOSH-LEACH (LPT) best known for clinically?
Directory data describes MRS. LISA MICHELLE MCINTOSH-LEACH (LPT) with Home Health Agency. Clinical services aligned with this taxonomy classification.
Where is MRS. LISA MICHELLE MCINTOSH-LEACH (LPT) based?
MRS. LISA MICHELLE MCINTOSH-LEACH (LPT) is tied to Joliet, Illinois in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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