Individual provider Active NPI

Leda Carrie McDaniel, DPT

  • Physical Therapist
  • Suwanee, GA
National Provider Identifier
1396306346
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014033 Issued in GA
Practice address
4310 Johns Creek Pkwy Ste 130
Suwanee, GA 30024-6092
Phone
(770) 495-0610
Fax
(770) 495-0806
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT014033 GA Primary

Addresses

Primary practice location

4310 Johns Creek Pkwy Ste 130
Suwanee, GA 30024-6092

Mailing address

631 Cleburne Ter NE
Atlanta, GA 30306-4420
Phone (505) 554-6192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2990 Spindletop Dr
Cumming, GA 30041-6321

Merit-based Incentive Payment System (MIPS)

Final score
77.03 of 100Reported as group
Quality
58.26
Improvement activities
40
Cost
79.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fyz 400 LLC CurrentSince Mar 20, 2023 Accepting new patients
Esop Rehabilitation, LLC Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients
Esop Rehabilitation LLC Physical Therapist Current Accepting new patients
The Sports Rehabilitation Center CurrentSince Feb 9, 2021 Accepting new patients

Locations

555 10th St NW
Atlanta, GA 30318
Phone (404) 477-8888

1365 Clifton Rd NE
Ste C1012
Atlanta, GA 30322
Phone (470) 870-8260

875 Flat Shoals Rd SE
Ste 150
Conyers, GA 30094
Phone (770) 785-7669

1605 Buford Hwy
Ste B
Cumming, GA 30041
Phone (470) 560-3123

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.

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1396306346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 CLEBURNE TER NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064420",
            "telephone_number": "505-554-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 JOHNS CREEK PKWY STE 130",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246092",
            "telephone_number": "770-495-0610",
            "fax_number": "770-495-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "LEDA",
        "middle_name": "CARRIE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.