LEAD PEDIATRIC PHYSICAL THERAPY, PLLC
NPI 1124880240
Physical Therapist - Pediatrics in Fort Worth, TX

Active since January 24, 2024
3462 BLUE BONNET CIR STE A, FORT WORTH, TX 76109(682) 231-2674(817) 264-7958 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lead Pediatric Physical Therapy, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAD PEDIATRIC PHYSICAL THERAPY, PLLC (NPI 1124880240) is a healthcare organization registered as a pediatrics in Fort Worth, Texas and active in the NPI registry since January 2024. The organization lists Chrissy Booher, Owner, as its authorized official.

NPPES Registry Identity

NPI1124880240
Entity TypeOrganization
Primary Taxonomy2251P0200X
Legal Business NameLEAD PEDIATRIC PHYSICAL THERAPY, PLLC
Location Address3462 BLUE BONNET CIR STE AFort Worth, TX 76109-2962
Mailing Address4912 Riverbend DrFort Worth, TX 76109-2435 · (571) 212-6145 · Fax (817) 264-7958
Fax(817) 264-7958
Organization SubpartNo
Authorized OfficialChrissy BooherOwner · (571) 212-6145
Enumeration DateJanuary 24, 2024
Last NPPES UpdateJanuary 9, 2026
NPPES CertifiedJanuary 9, 2026
NPI 1124880240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Also ListedPhysical TherapistTaxonomy 225100000X
3462 BLUE BONNET CIR STE A, Fort Worth, TX 76109

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lead Pediatric Physical Therapy, PLLC's NPI number?

The NPI number for Lead Pediatric Physical Therapy, PLLC is 1124880240. It was assigned to this organization in the NPPES registry on January 24, 2024.

Where is Lead Pediatric Physical Therapy, PLLC located?

Lead Pediatric Physical Therapy, PLLC is located at 3462 Blue Bonnet Cir Ste A, Fort Worth, TX 76109. The listed phone number is (682) 231-2674.

What is Lead Pediatric Physical Therapy, PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Lead Pediatric Physical Therapy, PLLC was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.