Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lead Pediatric Physical Therapy, PLLC

Organization Physical Therapist · NPI 1124880240

Lead Pediatric Physical Therapy, PLLC is a Physical Therapist in Fort Worth, Texas. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3462 Blue Bonnet Cir Ste A
Fort Worth, TX 76109-2962
Phone: (682) 231-2674
Fax: (817) 264-7958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1124880240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chrissy Booher — Owner · (571) 212-6145
NPI enumeratedJanuary 24, 2024
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026
Mailing address4912 Riverbend Dr, Fort Worth, TX 76109-2435

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