Active NPI
Andrea Leal, P.T.
- Pediatric Physical Therapist
- Austin, TX
National Provider Identifier
1235329475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1166268
- Practice address
- 13642 N Hwy 183 Ste 200
Austin, TX 78750-2210 - Phone
- (512) 331-4115
- NPI assigned
- Jul 25, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1166268 | TX | Primary |
Addresses
Primary practice location
13642 N Hwy 183 Ste 200
Austin, TX 78750-2210
Mailing address
9809 Oak Hollow Dr
Austin, TX 78758-5607
Other practice location 1
1102 Winkler Ave
Killeen, TX 76542-6249
Phone (254) 634-8505
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1166268 | TX | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Therapy Group, LLC | Past | Accepting new patients | |
| Barr Physical Therapy, P.C. | Pediatrics | Past | Accepting new patients |
| Easter Seals Central Texas Inc | Pediatrics | Past | Accepting new patients |
| San Luis Walk-in Clinic, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4
Organizations & group practices 4
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.
-
- Speech-Language Pathologist
- Austin, TX
- NPI 1982091500
-
- Early Intervention Provider Agency
- Austin, TX
- NPI 1013991017
Pediatrics
-
- Rural Health Clinic/Center
- Somerton, AZ
- NPI 1003991506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1235329475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9809 OAK HOLLOW DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13642 N HWY 183 STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787502210",
"telephone_number": "512-331-4115"
}
],
"practiceLocations": [
{
"address_1": "1102 Winkler Ave",
"address_purpose": "LOCATION",
"city": "Killeen",
"state": "TX",
"postal_code": "765426249",
"country_code": "US",
"telephone_number": "254-634-8505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEAL",
"first_name": "ANDREA",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1166268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.