Healthcare Provider Details

I. General information

NPI: 1598206062
Provider Name (Legal Business Name): LEANNE MCKOY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2017
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USAMEDDAC 2480 LLEWELLYN AVE
FORT GEORGE G. MEADE MD
20755
US

IV. Provider business mailing address

USAMEDDAC 2480 LLEWELLYN AVE
FORT GEORGE G. MEADE MD
20755
US

V. Phone/Fax

Practice location:
  • Phone: 301-677-8800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number25083
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: