MEDICARE: LORI ANN MCLEOD P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	39816	CA

General Provider Information

NPI Number	:	1255546719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI ANN MCLEOD P.T.

Provider Business Mailing Address
First Line	:	6544 N 13TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-1427
Country	:	US
Telephone Number	:	602-405-4535
Fax Number	:	602-678-3218

Provider Business Practice Location Address
First Line	:	1808 OAK PARK BLVD APT 18
Second Line	:
City	:	PLEASANT HILL
State	:	CA
Zip	:	94523-4483
Country	:	US
Telephone Number	:	602-405-4535
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	02/22/2026

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