Active NPI
Colton Leadley
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1093461683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 32249
- Practice address
- 3501 W Osborn Rd
Phoenix, AZ 85019-4037 - Phone
- (602) 272-7676
- NPI assigned
- Feb 23, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 32249 | AZ | Primary |
Addresses
Primary practice location
3501 W Osborn Rd
Phoenix, AZ 85019-4037
Mailing address
12411 N 37TH PL
Phoenix, AZ 85032-7360
Phone (480) 274-1386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32249 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1093461683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12411 N 37TH PL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850327360",
"telephone_number": "480-274-1386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 W OSBORN RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850194037",
"telephone_number": "602-272-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEADLEY",
"first_name": "COLTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-23",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "32249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.