Active NPI
Leah Manley Bradberry, CCC-SLP
- Speech-Language Pathologist
- Austin, TX
National Provider Identifier
1437991239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 116575
- Practice address
- 16219 Ranch Road 620 N
Austin, TX 78717-5209 - Phone
- (512) 520-1834
- NPI assigned
- Jun 11, 2024
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 116575 | TX | Primary |
Addresses
Primary practice location
16219 Ranch Road 620 N
Austin, TX 78717-5209
Mailing address
2026 Kimbrook Dr
Round Rock, TX 78681-2224
Phone (512) 983-5703
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 |
|---|---|---|---|
| 116575 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1437991239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2026 KIMBROOK DR",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786812224",
"telephone_number": "512-983-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16219 RANCH ROAD 620 N",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787175209",
"telephone_number": "512-520-1834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADBERRY",
"first_name": "LEAH",
"middle_name": "MANLEY",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-11",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "116575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Emily Brackenridge, MS, OTR/L
- Amber Len Brackmann, M.A. CCC-SLP
- Summer Brackmann, MS, RD, LD
- Cindy Kidd Brackmeyer, M.ED., LPC, RPT
- Brad E Logan (In-Home Therapy of Austin Texas)
- Kirsten Elizabeth Bradbury, PH.D.
- Sheila Dawn Bradbury, NNP
- Brooke Tooley Braddock, OT, MOT
- Braden Partners LP (Pacific Pulmonary Services)
- Valerie Braden, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.