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

Leslie Johnston

Individual provider Physical Therapist · NPI 1831503127

Leslie Johnston is a Physical Therapist in Private Practice in Tupelo, Mississippi. Qualified in 2009, 17 years ago. Practices with Sog Physical Therapy, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
17
Licensed in
MS
In the registry since
2014
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Practice location Address checks out

1211 S Gloster St Ste C
Tupelo, MS 38801-6548
Phone: (669) 432-1523
Fax: (662) 432-1528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2205 5th St N, Columbus, MS 39705-2211 — (662) 243-1097

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT4574 (MS)

Record details

NPI number1831503127
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2014
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025
Mailing address1211 S Gloster St, Tupelo, MS 38801-6546

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Sog Physical Therapy — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tupelo