Individual provider · Type 1 NPI

Leah Tate, PTA

Physical Therapy Assistant · Charlotte, NC

NPI number 1336059377 Active

Practice location

2400 W Mallard Creek Church Rd
Charlotte, NC 28262-2324

Call (704) 323-2108 Map

Mailing address

11516 Glowing Star Dr
Charlotte, NC 28215-7341

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA8734 (NC)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1336059377

Leah Tate, PTA's National Provider Identifier is 1336059377, issued on Sep 10, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Charlotte, NC. The record was last updated on Sep 10, 2026.