Individual provider Active NPI

Leah Kroll-Rosen, PT, DPT, NCS

  • Neurology Physical Therapist
  • Aurora, CO
National Provider Identifier
1194220871
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
14630 Issued in CO
Practice address
12500 E Iliff Ave Ste 300
Aurora, CO 80014-1268
Phone
(303) 731-4620
NPI assigned
Mar 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X
Neurology Physical Therapist 2251N0400X 14630 CO Primary

Addresses

Primary practice location

12500 E Iliff Ave Ste 300
Aurora, CO 80014-1268

Mailing address

12500 E Iliff Ave Ste 300
Aurora, CO 80014-1268

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220517002834 CO Practitioner - Physical Therapist in Private Practice 1658758479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brainwave Neuro Rehab Services, LLCGroup PAC ID 6305280868, 2 clinicians

Practice addresses (Care Compare)

12500 E Iliff Ave
Suite 300
Aurora, CO 80014-1268
Phone (303) 731-4620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14630COMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brainwave Neuro Rehab Services LLC Neurology CurrentSince Dec 2, 2023 Accepting new patients

Locations

12500 E Iliff Ave
Ste 300
Denver, CO 80014
Phone (303) 730-4620

Organizations & group practices 1

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1194220871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 E ILIFF AVE STE 300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 E ILIFF AVE STE 300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141268",
            "telephone_number": "303-731-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLL-ROSEN",
        "first_name": "LEAH",
        "credential": "PT, DPT, NCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CO",
            "license": "14630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.