Individual provider Active NPI

Brooke Leach

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1710167366
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1099141 Issued in TX
Practice address
2200 Los Rios Blvd
Ste. 132
Plano, TX 75074-3400
Phone
(972) 509-5070
NPI assigned
Nov 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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 1099141 TX Primary

Addresses

Primary practice location

2200 Los Rios Blvd
Ste. 132
Plano, TX 75074-3400

Mailing address

2200 Los Rios Blvd
Ste. 132
Plano, TX 75074-3400
Phone (972) 509-5070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150914001637 TX Practitioner - Physical Therapist in Private Practice 5092022731 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Physical Therapy and Performance Limited Partnership Physical Therapist CurrentSince Aug 4, 2016 Accepting new patients

Locations

1206 E Main St
Ste 102
Allen, TX 75002
Phone (972) 325-1390

1010 W Exchange Pkwy
Ste 2100
Allen, TX 75013
Phone (972) 325-1390

7548 Preston Rd
Ste 145
Frisco, TX 75034
Phone (972) 712-9693

5255 N President George Bush Hwy
Ste 200
Garland, TX 75040
Phone (972) 675-3609

631 W FM 544
Ste 200
Murphy, TX 75094
Phone (972) 200-4370

2200 Los Rios Blvd
Ste 132
Plano, TX 75074
Phone (972) 509-5070

241 N Preston Rd
Ste B
Prosper, TX 75078
Phone (214) 227-7224

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": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1710167366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 LOS RIOS BLVD",
            "address_2": "STE. 132",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750743400",
            "telephone_number": "972-509-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 LOS RIOS BLVD",
            "address_2": "STE. 132",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750743400",
            "telephone_number": "972-509-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1099141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.