P Praxis·MD
● Active Type 1 · Individual

Kellie Leday

Prosthetic/Orthotic Supplier·Beaumont, TX· NPI 1972357796 · Enumerated 2024 · 2 years on NPI
Leday is 1 of 5 prosthetic/orthotic supplier providers in Beaumont and 1 of 741 in Texas.
NPI age
2 years
Enumerated 2024-04-17
Primary specialty
Prosthetic/Orthotic Supplier
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-06-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 741 active prosthetic/orthotic supplier providers in Texas.

NPI age
2 years
↓ 11 yr below median (13 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 28% of peers with subspecialties

NPI lifetime · 2024 → 2026

2024-04Enumerated in NPPES
2024 2026

Where they practice

Practice location
3965 Phelan Blvd Ste 104
Beaumont, TX 777072253
📞 8326932213
Mailing address
5595 Bonnie Lee St
Beaumont, TX 777056006
📞 8326932213

Additional practice locations

1 secondary location on file with NPPES.

Location 2
5595 Bonnie Lee St
Beaumont, TX 777056006
📞 8326932213

Specialties

  • Prosthetic/Orthotic Supplier Primary
    An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring...
    TX license #P8WUN1JA8R taxonomy 335E00000X
  • Specialist
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    TX license #P8WUN1JA8R taxonomy 174400000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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