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

Brandon Taylor Leal, DPT

Individual provider Physical Therapist · NPI 1699567743

Brandon Taylor Leal, DPT is a Physical Therapist in Private Practice in Eagle, Idaho. Qualified in 2025, 1 year ago. Practices with Foothills Physical Therapy PA, a 27-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

645 E State St Ste 101
Eagle, ID 83616-5915
Phone: (208) 939-9594
Fax: (208) 939-9828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6171063 (ID)

Record details

NPI number1699567743
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 22, 2025
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Foothills Physical Therapy Pa — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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