MEDICARE: STRIDE PHYSICAL THERAPY, LLC

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

General Provider Information

NPI Number	:	1740114305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRIDE PHYSICAL THERAPY, LLC

Provider Business Mailing Address
First Line	:	679 WISTERIA WAY
Second Line	:
City	:	GARDENDALE
State	:	AL
Zip	:	35071-3680
Country	:	US
Telephone Number	:	954-501-1191
Fax Number	:

Provider Business Practice Location Address
First Line	:	679 WISTERIA WAY
Second Line	:
City	:	GARDENDALE
State	:	AL
Zip	:	35071-3680
Country	:	US
Telephone Number	:	954-501-1191
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST OWNER
Name	:	MR. LEARY-DEAN D MCINTOSH
Credential	:	MSPT
Telephone Number	:	954-501-1191

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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Directions to “STRIDE PHYSICAL THERAPY, LLC ” Practice Location

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