Individual provider Active NPI

Sara Elizabeth Lieven, PT, DPT

  • Physical Therapist
  • Longmont, CO
National Provider Identifier
1215656897
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0019230 Issued in CO
Practice address
1760 E Ken Pratt Blvd Ste 405
Longmont, CO 80504-5311
Phone
(720) 718-5400
Fax
(720) 718-5991
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 PTL.0019230 CO Primary

Addresses

Primary practice location

1760 E Ken Pratt Blvd Ste 405
Longmont, CO 80504-5311

Mailing address

1760 E Ken Pratt Blvd Ste 405
Longmont, CO 80504-5311
Phone (720) 718-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221011000654 MN Practitioner - Physical Therapist in Private Practice 9335525609 Reassigns benefits to 2 organizations
I20240314002050 CO Practitioner - Physical Therapist in Private Practice 9335525609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Minnesota Medical School, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uchealth Community ServicesGroup PAC ID 5395024905, 130 clinicians

Practice addresses (Care Compare)

1760 E Ken Pratt Blvd
Suite 405
Longmont, CO 80504-5311
Phone (720) 718-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12857MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Uchealth Community Services Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Oct 18, 2022 Accepting new patients
Fairview Express Care CurrentSince Oct 18, 2022 Accepting new patients
Healtheast Outpatient Services, LLC Physical Therapist CurrentSince Oct 18, 2022 Accepting new patients

Locations

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

1760 E Ken Pratt Blvd
Ste 405
Longmont, CO 80504
Phone (720) 718-5400

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1215656897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 E KEN PRATT BLVD STE 405",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805045311",
            "telephone_number": "720-718-5400",
            "fax_number": "720-718-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E KEN PRATT BLVD STE 405",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805045311",
            "telephone_number": "720-718-5400",
            "fax_number": "720-718-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEVEN",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2024-03-18",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.