LEESA D NYSTROM (PT) – Physical Therapist, NPI 1801896535

LEESA D NYSTROM (PT) is a healthcare provider. based in Medford, Oregon. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 0775 (OR). The NPI Number for LEESA D NYSTROM (PT) is 1801896535

Main info

Female
49 Years Of Experience
Accepts Medicare Assignment
Name
LEESA D NYSTROM (PT)
NPI
1801896535
Phone
(541) 773-7678
Address
924 S RIVERSIDE AVE
Enumeration Date
22 July 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5417737678
Graduation Year
1977 (49 years ago)
PAC ID
8729978515
Group Practice PAC ID
9234029018
Professional Enrollment ID
I20120104000584
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for LEESA D NYSTROM (PT)

  • South Riverside Avenue, Medford, Jackson County, Oregon, 97501, United States

    MEDFORD, OR 975017842

    Phone: (541) 773-7678

    Fax: (541) 773-5517

    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.

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

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes31329$0
97530Therapy procedure using functional activities8923$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2013$0
View full utilization report →

Insurance plans in this area (ZIP 97501)

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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: 9234029018View full group profile
NameSpecialtyState
KIMBERLY J STEPHENS (PT)
-OR

Reviews

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Frequently asked questions

What is the 10-digit NPI for LEESA D NYSTROM (PT)?
LEESA D NYSTROM (PT) — NPI 1801896535 — is the standard way to identify this listing.
Does CMS list LEESA D NYSTROM (PT) as active?
Yes — LEESA D NYSTROM (PT) is active in the NPI listing used on this page.
What taxonomy line describes LEESA D NYSTROM (PT)?
For research purposes, treat LEESA D NYSTROM (PT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Does LEESA D NYSTROM (PT) list a practice location?
Patients near Medford, Oregon may find LEESA D NYSTROM (PT) in results; validate coverage separately.
Is the information about LEESA D NYSTROM (PT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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