Active NPI
Stephanie Leeann Leal, DPT
- Physical Therapist
- Ennis, TX
National Provider Identifier
1013464338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1278332
- Practice address
- 2201 W Lampasas St
Ennis, TX 75119-5644 - Phone
- (469) 256-2340
- Fax
- (469) 256-2341
- NPI assigned
- Sep 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1278332 | TX | Primary |
Addresses
Primary practice location
2201 W Lampasas St
Ennis, TX 75119-5644
Mailing address
2201 W Lampasas St
Ennis, TX 75119-5644
Phone (469) 256-2340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1278332 | Other | TX | TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS |
Other names 1
- Stephanie Leeann Rangel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1278332 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1013464338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 W LAMPASAS ST",
"city": "ENNIS",
"state": "TX",
"postal_code": "751195644",
"telephone_number": "469-256-2340",
"fax_number": "469-256-2341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 W LAMPASAS ST",
"city": "ENNIS",
"state": "TX",
"postal_code": "751195644",
"telephone_number": "469-256-2340",
"fax_number": "469-256-2341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAL",
"first_name": "STEPHANIE",
"middle_name": "LEEANN",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-02",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1278332",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS",
"identifier": "1278332",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "RANGEL",
"middle_name": "LEEANN",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ennis, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.