Active NPI
Leah F Woodruff, PT
- Specialist
- Tyler, TX
National Provider Identifier
1972820611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 142657
- Practice address
- 1136 E Grande Blvd
Tyler, TX 75703-3982 - Phone
- (903) 363-9252
- NPI assigned
- Apr 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 142657 | TX | Primary |
| Physical Therapist | 225100000X | 1176643 | TX |
Addresses
Primary practice location
1136 E Grande Blvd
Tyler, TX 75703-3982
Mailing address
1136 E Grande Blvd
Tyler, TX 75703-3982
Phone (903) 636-9252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1136 E Grande Blvd
Tyler, TX 75703-3982
Phone (903) 363-9252
Merit-based Incentive Payment System (MIPS)
- Final score
- 95 of 100
- Quality
- 90
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142657 | TX | MD | Specialist |
| 1176643 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fyzical Therapy & Balance Center Tyler PLLC | Physical Therapist | Current | Accepting new patients |
| Wheelchair Clinic Inc | Physical Therapist | Current | Accepting new patients |
| Performancepro Sports Medicine and Rehabilitation | Past | Accepting new patients |
Locations
4557 S Western St
Ste B4
Amarillo, TX 79109
Phone (801) 440-5592
1136 E Grande Blvd
Tyler, TX 75703
Phone (903) 592-3666
2021 E Village Green Cir
Ste C
Draper, UT 84020
Phone (801) 440-5592
Organizations & group practices 3
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.
-
- Physical Therapist
- Tyler, TX
- NPI 1831695998
-
- Physical Therapist
- Amarillo, TX
- NPI 1265904064
-
- Durable Medical Equipment & Medical Supplies
- Tyler, TX
- NPI 1063663227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1972820611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 E GRANDE BLVD",
"city": "TYLER",
"state": "TX",
"postal_code": "757033982",
"telephone_number": "903-636-9252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 E GRANDE BLVD",
"city": "TYLER",
"state": "TX",
"postal_code": "757033982",
"telephone_number": "903-363-9252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODRUFF",
"first_name": "LEAH",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-20",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "142657",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1176643",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.