Jennifer Leitch McCrady, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305204219 Issued in VA

Practice address

600 E Main St Ste a
Suite a
Radford, VA 24141-1826

Phone

(540) 633-0413

Fax

(540) 633-0416

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Jennifer Lynn Leitch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1295828242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 DAVIS ST",
            "address_2": "SUITE B",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607013",
            "telephone_number": "540-552-5100",
            "fax_number": "540-552-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E MAIN ST STE A",
            "address_2": "SUITE A",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241411826",
            "telephone_number": "540-633-0413",
            "fax_number": "540-633-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRADY",
        "first_name": "JENNIFER",
        "middle_name": "LEITCH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2618376 GROUP",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "192943",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "263354",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LEITCH",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ellen Marshall, DPT
• Janice Marshall, FNP-C
• Drema Osborne Masri, PHARMD
• Glenn Moore Mathews, LPC, LMFT
• Shannon Renee May, LPC
• Stephen Donald McCuin, DDS
• Michelle Lynn McDaniel, LPTA, LMT
• Paul G McElroy, M.D.
• Michael Sidney McGee, MS, LPC
• Jennifer Irene McKenzie, MSED, ATC

• Physical Therapist in Radford, VA
• Providers in Radford, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.