Nicole E Leitch, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1351133 Issued in TX

Practice address

1707 Fountainview Dr
Mansfield, TX 76063-5091

Phone

(817) 752-9662

NPI assigned

Sep 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1306516935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 MEADOWBROOK LN",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760363424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 FOUNTAINVIEW DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635091",
            "telephone_number": "817-752-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITCH",
        "first_name": "NICOLE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1351133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lee
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• Lynnette Martiana Leffall, DO
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• Kimberly Mieko Lehano
• Shelley Guzman Lenamond, D.O.
• Jacquelyn Ann Lester, MS/CCC-SLP
• Let'S Talk About It Counseling Services PLLC
• Amy Renee Lewis, R.N., AGPCNP-BC
• Hadiyah Lewis

• Pediatric Physical Therapist in Mansfield, TX
• Providers in Mansfield, 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 Sep 15, 2021; 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.