Active NPI
Kyle Leedy
- Pediatric Occupational Therapist
- McKinney, TX
National Provider Identifier
1104245067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 115250
- Practice address
- 2720 Virginia Pkwy
Suite 300
McKinney, TX 75071-4916 - Phone
- (972) 548-1990
- Fax
- (972) 548-1981
- NPI assigned
- Apr 8, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 115250 | TX | Primary |
Addresses
Primary practice location
2720 Virginia Pkwy
Suite 300
McKinney, TX 75071-4916
Mailing address
17811 Vail Street
Dallas, TX 75287-6476
Phone (651) 230-1155
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Pediatric Therapy, PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1104245067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17811 VAIL STREET",
"city": "DALLAS",
"state": "TX",
"postal_code": "752876476",
"telephone_number": "651-230-1155",
"fax_number": "972-548-1981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 VIRGINIA PKWY",
"address_2": "SUITE 300",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750714916",
"telephone_number": "972-548-1990",
"fax_number": "972-548-1981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEEDY",
"first_name": "KYLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-08",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "115250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.