Provider Demographics
NPI:1306586250
Name:MCGRATH, LEIGHANN NICOLE (LPTA)
Entity type:Individual
Prefix:
First Name:LEIGHANN
Middle Name:NICOLE
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:LEIGHANN
Other - Middle Name:NICOLE
Other - Last Name:PEOPLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPTA
Mailing Address - Street 1:4711 E RIVERSIDE DR APT 1306
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-5032
Mailing Address - Country:US
Mailing Address - Phone:205-470-3868
Mailing Address - Fax:
Practice Address - Street 1:2171 WOODWARD ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-1049
Practice Address - Country:US
Practice Address - Phone:512-610-3001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTA9546225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant