Active NPI
Gaela Dawn Leatherman, PT, DPT
- Physical Therapist
- McAlester, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5249
- Practice address
- 1029 E Washington Ave
McAlester, OK 74501-4849 - Phone
- (918) 423-2220
- Fax
- (918) 423-2620
- NPI assigned
- Feb 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1240268 | TX | |
| Physical Therapist | 225100000X | 5249 | OK | Primary |
Addresses
Primary practice location
1029 E Washington Ave
McAlester, OK 74501-4849
Mailing address
1029 E Washington Ave
McAlester, OK 74501-4862
Phone (918) 423-2220
Other practice location 1
617 S Main St
Eufaula, OK 74432-3301
Phone (918) 423-2220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
515 E
1St
Dumas, TX 79029-3219
Phone (806) 934-2634
617 S Main St
Eufaula, OK 74432-3301
Phone (918) 423-2220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1240268 | TX | MD | Physical Therapist |
| 5249 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dumas Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Ergonomic Consultants, LLC | Physical Therapist | Current | Accepting new patients |
Locations
617 S Main St
Eufaula, OK 74432
Phone (918) 423-2220
1029 E Washington Ave
McAlester, OK 74501
Phone (918) 423-2220
1309 E Wade Watts Ave
McAlester, OK 74501
Phone (918) 423-2220
9805 FM 2219
Ste 400
Amarillo, TX 79119
Phone (806) 705-8866
515 E 1st St
Dumas, TX 79029
Phone (806) 934-2634
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- McAlester, OK
- NPI 1922039882
Physical Therapist
-
- Physical Therapist
- Dumas, TX
- NPI 1235363979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1154745362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 E WASHINGTON AVE",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745014862",
"telephone_number": "918-423-2220",
"fax_number": "918-423-2620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 E WASHINGTON AVE",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745014849",
"telephone_number": "918-423-2220",
"fax_number": "918-423-2620"
}
],
"practiceLocations": [
{
"address_1": "617 S Main St",
"address_purpose": "LOCATION",
"city": "Eufaula",
"state": "OK",
"postal_code": "744323301",
"country_code": "US",
"telephone_number": "918-423-2220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEATHERMAN",
"first_name": "GAELA",
"middle_name": "DAWN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-07",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1240268",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "5249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.