Lead Pediatric Physical Therapy, PLLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

LEAD PEDIATRIC PHYSICAL THERAPY, PLLC

Practice address

3462 Blue Bonnet Cir Ste a
Fort Worth, TX 76109-2962

Phone

(682) 231-2674

Fax

(817) 264-7958

NPI assigned

Jan 24, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chrissy Booher, PT, PCS

Title

Owner

Phone

(571) 212-6145

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Booher

  • Pediatric Physical Therapist
  • Fort Worth, TX
  • NPI 1366587909

  Pediatrics

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1124880240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 RIVERBEND DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761092435",
            "telephone_number": "571-212-6145",
            "fax_number": "817-264-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3462 BLUE BONNET CIR STE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761092962",
            "telephone_number": "682-231-2674",
            "fax_number": "817-264-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAD PEDIATRIC PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "BOOHER",
        "authorized_official_first_name": "CHRISSY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-212-6145",
        "authorized_official_credential": "PT, PCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Ngoc Le
• Tony Le, PHARM D
• Uyen Le
• Bam Leach-Wongsaprome, RN
• Kayla Leach, RBT
• John Lewis Leake
• Ashley Caitlan Leal, MSN, RN, CPNP-PC
• Briana Leal, DPT
• Lucas Leal, DPT
• Sharon Rumley Leal, LPC

• Pediatric Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pediatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.