IndividualActive
Kevin Leiseberg, MS, PT
NPI 1093827685 · Physical Therapist · Marengo, IL
Provider details
- NPI number
- 1093827685
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, PT
- Sex
- Male
- Sole proprietor
- No
- License
- 070-011208 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 S State St
Marengo, IL 60152-3532
Phone: (815) 568-4550
Fax: (815) 568-5071
Street-level locationGet directions
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2016-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.