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

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

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