Nicole McLeod, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1159291 Issued in TX

Practice address

2743 Smith Ranch Rd Ste 701
Pearland, TX 77584-5204

Phone

(713) 433-7406

NPI assigned

Dec 9, 2020

Last updated

Feb 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Babyology Therapy Center, PLLC

  dba BTC

  • Physical Therapy Clinic/Center
  • Pearland, TX
  • NPI 1316525629
  NPD Authorized official

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1538765052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 SMITH RANCH RD STE 701",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845210",
            "telephone_number": "713-433-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 SMITH RANCH RD STE 701",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845204",
            "telephone_number": "713-433-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1159291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4312746",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa E McKinney Trusty
• Jade McKinney
• Hali McLarrin
• Shauna Addison McLaughlin, P.A.-C
• Lauren McLaurin
• June McMillan
• Kathryn McMillan
• Jennifer McMillen, RN
• Jasmine McNealy, NP
• MD One Internal Medicine Associates, PLLC

• Pediatric Physical Therapist in Pearland, TX
• Providers in Pearland, 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 Feb 7, 2022; 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.