Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Alan Leiseberg, MS, PT

Individual provider Physical Therapist · NPI 1093827685

Kevin Alan Leiseberg, MS, PT is a Physical Therapist in Marengo, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

300 S State St
Marengo, IL 60152-3532
Phone: (815) 568-4550
Fax: (815) 568-5071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-011208 (IL)

Record details

NPI number1093827685
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , PT
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESApril 21, 2016

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