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

Kellie Ann Leavitt, PTA

Individual provider Physical Therapy Assistant · NPI 1417610437

Kellie Ann Leavitt, PTA is a Physical Therapy Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2021.

Licensed in
AZ
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

21001 N Tatum Blvd Ste 78-1640
Phoenix, AZ 85050-5244
Phone: (877) 222-5348
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA-014015 (AZ)

Record details

NPI number1417610437
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 17, 2021
Last updated in NPPESOctober 17, 2021
Certification dateOctober 17, 2021

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