Individual provider Active NPI

Mary L Leone, OTR

  • Occupational Therapist
  • Vail, CO
National Provider Identifier
1013093020
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
AA334425 Issued in CO
Practice address
181 So Frontage Road West
Vail, CO 81657
Phone
(970) 668-3169
Fax
(970) 668-3243
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X AA334425 CO
Occupational Therapist 225X00000X AA334425 CO Primary

Addresses

Primary practice location

181 So Frontage Road West
Vail, CO 81657

Mailing address

PO Box 40000
Vail, CO 81658-7520
Phone (970) 668-3169

Other practice location 1

100 Basecamp Way Ste 105
Frisco, CO 80443-5967
Phone (970) 668-3169

Other identifiers 2

IdentifierTypeStateIssuer
1235180308MedicaidCO
17408776MedicaidCO

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address VVMC.DIRECT@direct.vvmc.com Health Information Exchange (HIE) VAIL CLINIC INC
Direct Messaging Address VVMCDDIRECT@direct.vvmc.com Health Information Exchange (HIE) VAIL CLINIC INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914001024 CO Practitioner - Occupational Therapist in Private Practice 6204951296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vail Clinic IncGroup PAC ID 3577475714, 117 clinicians

Practice addresses (Care Compare)

100 Base Camp Way
Suite 105 Howard Head Sports Medicine
Frisco, CO 80443-5967
Phone (970) 668-3169

Merit-based Incentive Payment System (MIPS)

Final score
75.38 of 100Reported as group
Quality
55.42
Promoting interoperability
96
Improvement activities
40
Cost
65.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AA334425COMDOccupational Therapist
1934COMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Vail Clinic Inc CurrentSince Nov 1, 2020 Accepting new patients
Vail Clinic, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Vail Clinic, Inc. Current Accepting new patients

Locations

1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800

100 Basecamp Way
#105
Frisco, CO 80443
Phone (970) 476-1225

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

180 S Frontage Rd W
Vail, CO 81657
Phone (866) 247-3141

181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036

Interoperability endpoints

  • Direct secure messaging: vvmcddirect@direct.vvmc.com
  • Direct secure messaging: vvmc.direct@direct.vvmc.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1013093020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40000",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816587520",
            "telephone_number": "970-668-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 SO FRONTAGE ROAD WEST",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "81657",
            "telephone_number": "970-668-3169",
            "fax_number": "970-668-3243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Basecamp Way Ste 105",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "CO",
            "postal_code": "804435967",
            "country_code": "US",
            "telephone_number": "970-668-3169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONE",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-02-09",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CO",
            "license": "AA334425",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "AA334425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235180308",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17408776",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VVMC.DIRECT@direct.vvmc.com",
            "affiliation": "Y",
            "affiliationName": "VAIL CLINIC INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "181 So Frontage Road West",
            "city": "Vail",
            "state": "CO",
            "country_code": "US",
            "postal_code": "81657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VVMCDDIRECT@direct.vvmc.com",
            "affiliation": "Y",
            "affiliationName": "VAIL CLINIC INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "181 So Frontage Road West",
            "city": "Vail",
            "state": "CO",
            "country_code": "US",
            "postal_code": "81657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vail, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.