Individual provider Active NPI

Patrick J Leahy, PT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1104155340
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL6052 Issued in CO
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

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
PTL6052COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Action Potential RLLP Physical Therapist CurrentSince Jul 17, 2023 Accepting new patients
Action Potential RLLP Physical Therapist CurrentSince Jul 17, 2023 Accepting new patients
Action Potential RLLP Physical Therapist Current Accepting new patients
Action Potential RLLP Physical Therapist Past Accepting new patients
Premier Orthopedics PastSince May 1, 2012 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.