MEDICARE: MS. LESLEY M PACITTO PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	P9698	NC

General Provider Information

NPI Number	:	1003890328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LESLEY M PACITTO PT

Provider Business Mailing Address
First Line	:	420 E CENTRAL AVE
Second Line	:
City	:	MOUNT HOLLY
State	:	NC
Zip	:	28120-2116
Country	:	US
Telephone Number	:	980-277-2770
Fax Number	:	980-209-6560

Provider Business Practice Location Address
First Line	:	420 E CENTRAL AVE
Second Line	:
City	:	MOUNT HOLLY
State	:	NC
Zip	:	28120-2116
Country	:	US
Telephone Number	:	980-277-2770
Fax Number	:	980-209-6560

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	02/27/2026

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