Active NPI
Patrick J Leahy, PT
- Physical Therapist
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL6052
- Practice address
- 3920 N Union Blvd
Ste. 330
Colorado Springs, CO 80907-4900 - Phone
- (719) 570-7272
- Fax
- (719) 570-9030
- NPI assigned
- Dec 17, 2009
- 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 | PTL6052 | CO | Primary |
Addresses
Primary practice location
3920 N Union Blvd
Ste. 330
Colorado Springs, CO 80907-4900
Mailing address
3920 N Union Blvd
Ste. 330
Colorado Springs, CO 80907-4900
Phone (719) 570-7272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170211000003 | CO | Practitioner - Physical Therapist in Private Practice | 5395028682 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2600 Dallas Pkwy
Suite 290
Frisco, TX 75034-7486
2600 Dallas Pkwy
Suite 290
Frisco, TX 75034-7493
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL6052 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Potential RLLP | Physical Therapist | Current | Accepting new patients |
| Action Potential RLLP | Physical Therapist | Current | Accepting new patients |
| Action Potential RLLP | Physical Therapist | Current | Accepting new patients |
| Action Potential RLLP | Physical Therapist | Past | Accepting new patients |
| Premier Orthopedics | Past | Accepting new patients |
Locations
2435 Research Pkwy
Ste 255
Colorado Springs, CO 80920
Phone (719) 260-8400
2955 Professional Pl
Ste 200
Colorado Springs, CO 80904
Phone (719) 227-7079
4105 Briargate Pkwy
Ste 300
Colorado Springs, CO 80920
Phone (719) 473-3332
328 Main St
Colorado Springs, CO 80911
Phone (719) 392-7777
1612 E Pikes Peak Ave
Colorado Springs, CO 80909
Phone (719) 475-8080
4328 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 475-0808
2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010
Interoperability endpoints
- patrick.leahy.1@4082.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1093736316
-
- Multi-Specialty Clinic/Center
- Colorado Springs, CO
- NPI 1265274948
Physical Therapist
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1013961770
-
- Orthopaedic Surgery Physician
- Colorado Springs, CO
- NPI 1295783876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415145600000",
"number": "1104155340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 N UNION BLVD",
"address_2": "STE. 330",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074900",
"telephone_number": "719-570-7272",
"fax_number": "719-570-9030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 N UNION BLVD",
"address_2": "STE. 330",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074900",
"telephone_number": "719-570-7272",
"fax_number": "719-570-9030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAHY",
"first_name": "PATRICK",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-17",
"last_updated": "2014-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL6052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.