Active NPI
Leah Northcutt, PT, DPT
- Pediatric Physical Therapist
- Houston, TX
National Provider Identifier
1336814912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1207672
- Practice address
- 3431 Broadmead Dr
Houston, TX 77025-3702 - Phone
- (979) 236-9925
- NPI assigned
- Aug 16, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 1207672 | TX | Primary |
Addresses
Primary practice location
3431 Broadmead Dr
Houston, TX 77025-3702
Mailing address
3431 Broadmead Dr
Houston, TX 77025-3702
Phone (979) 236-9925
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 |
|---|---|---|---|
| 1207672 | TX | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom Concierge Services, PLLC | Pediatrics | Current | Accepting new patients |
Organizations & group practices 1
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": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1336814912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3431 BROADMEAD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770253702",
"telephone_number": "979-236-9925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3431 BROADMEAD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770253702",
"telephone_number": "979-236-9925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTHCUTT",
"first_name": "LEAH",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-16",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1207672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Precious North
- Robert Yates North, MD
- Northchase Family Practice Clinic
- Cheryl Lynn Northcutt, M.S. CCC-SLP
- James Harlow Northcutt II, OTR, MOT
- Northeast Houston Spine Center PA
- Northeast Medical Group, PLLC
- Northeast NSG. SVCS. PHC HMO Inc
- Northeast Pain Intervention Center LTD
- Northern Enterprises, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.