Individual provider Active NPI

Leandro Lopez, PT, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1174137897
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0018489 Issued in CO
Practice address
1830 N Franklin St Ste 400
Denver, CO 80218-1128
Phone
(303) 321-1333
NPI assigned
Sep 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT31915 FL
Physical Therapist 225100000X 2305213872 VA
Physical Therapist 225100000X PTL.0018489 CO Primary

Addresses

Primary practice location

1830 N Franklin St Ste 400
Denver, CO 80218-1128

Mailing address

1830 N Franklin St Ste 400
Denver, CO 80218-1128
Phone (303) 321-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201007000775 VA Practitioner - Physical Therapist in Private Practice 4880013093 Reassigns benefits to 1 organization
I20210421002456 FL Practitioner - Physical Therapist in Private Practice 4880013093 Reassigns benefits to 1 organization
I20220719000346 CO Practitioner - Physical Therapist in Private Practice 4880013093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Luna Care Physical Therapy LLCGroup PAC ID 7517363617, 210 clinicians

Practice addresses (Care Compare)

Denver, CO 80246
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0018489COMDPhysical Therapist
PT31915FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 11, 2024 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 11, 2024 Accepting new patients
PT Solutions, LLC Physical Therapist Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 11, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
First Choice Medical Group of Brevard LLC CurrentSince Apr 19, 2021 Accepting new patients
PT Solutions LLC Physical Therapist CurrentSince Oct 5, 2020 Accepting new patients
PT Solutions, LLC CurrentSince Oct 5, 2020 Accepting new patients

Locations

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

1830 N Franklin St
Ste 400
Denver, CO 80218
Phone (303) 253-7373

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

709 S Harbor City Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 409-9990

4311 Norfolk Pkwy
Ste 116
West Melbourne, FL 32904
Phone (321) 802-5814

1100 Circle 75 Pkwy SE
Ste 1400
Atlanta, GA 30339
Phone (678) 403-3555

54 Floyd Pike
Hillsville, VA 24343
Phone (276) 728-7280

1050 Holston Rd
Wytheville, VA 24382
Phone (276) 238-8900

Interoperability endpoints

  • Direct secure messaging: leandro.lopez.1@8524.direct.athenahealth.com

Organizations & group practices 8

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": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1174137897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 N FRANKLIN ST STE 400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181128",
            "telephone_number": "303-321-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 N FRANKLIN ST STE 400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181128",
            "telephone_number": "303-321-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LEANDRO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT31915",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213872",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0018489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.