IndividualActive
Leah Bullard, PTA
NPI 1104096114 · Physical Therapy Assistant · Pensacola, FL
Provider details
- NPI number
- 1104096114
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- PTA20606 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5855 Creek Station Dr
Pensacola, FL 32504-8626
Phone: (850) 477-6966
Fax: (850) 477-0267
Approximate (ZIP-level) locationGet directions
Mailing address
1153 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4835
Registry dates
- Enumerated
- 2008-03-05
- Last updated
- 2008-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.