Individual provider Active NPI

Gaela Dawn Leatherman, PT, DPT

  • Physical Therapist
  • McAlester, OK
National Provider Identifier
1154745362
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5249 Issued in OK
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

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161115000610 OK Practitioner - Physical Therapist in Private Practice 9335428309 Reassigns benefits to 1 organization
I20260514000984 TX Practitioner - Physical Therapist in Private Practice 9335428309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Dumas Physical Therapy, LLCGroup PAC ID 3577615012, 8 clinicians
Ergonomic Consultants, LLCGroup PAC ID 6901809227, 8 clinicians

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

LicenseStateTypeSpecialty
1240268TXMDPhysical Therapist
5249OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dumas Physical Therapy, LLC Physical Therapist CurrentSince May 5, 2026 Accepting new patients
Ergonomic Consultants, LLC Physical Therapist CurrentSince Sep 1, 2016 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.

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.

Verify at the official NPI Registry.