Leslie Pottebaum

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

LESLIE POTTEBAUM

Doing business as

Cy-Les Ranch

Practice address

16155 W 74TH Dr
Arvada, CO 80007-7828

Phone

(303) 912-1111

NPI assigned

Jul 17, 2019

Organization subpart

No

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

Authorized official

Name

Leslie Pottebaum

Title

Sole Proprietor

Phone

(303) 912-1111

Specialties & licenses 1

Addresses

Other names 1

• Cy-Les Ranch Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1497308670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16155 W 74TH DR",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800077828",
            "telephone_number": "303-912-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16155 W 74TH DR",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800077828",
            "telephone_number": "303-912-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE POTTEBAUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "POTTEBAUM",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "303-912-1111"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cy-Les Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valeria Lemus Varela, CI
• Jennifer Leonard, L.AC., DIPL. OM
• Madeline P Leone, DPT
• Daniel Lepping, ATC
• Halee Ann Lesch, DDS
• Let's Ride Mobility Services, LLC
• Zachary W Lew, PT, DPT
• Fred J Lewin, DC
• Tyler Lewis-Dahm
• Aubrey Lewis

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Arvada, CO
• Providers in Arvada, CO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.