Leah Tate, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A8734 Issued in NC

Practice address

2400 W Mallard Creek Church Rd
Charlotte, NC 28262-2324

Phone

(704) 323-2108

NPI assigned

Sep 10, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1336059377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11516 GLOWING STAR DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W MALLARD CREEK CHURCH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622324",
            "telephone_number": "704-323-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "LEAH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A8734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandra R Tate, FNP
• Christian Marie Tate, LCSW-A
• Elizabeth Kathleen Tate, LCMHCA, NCC
• George Whaley Tate, M.D.
• Khaya Tate
• Misty Siobhan Tate, MBA, LAT, ATC
• Stacia Keyunia Tate, FNP
• Tiffany Tate
• Tiffany Tate
• David Tatum, DO

• Physical Therapy Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.