Active NPI
Jessica Leung
- Physical Therapist
- Thornton, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0015813
- Practice address
- 9195 Grant St Ste 305
Thornton, CO 80229-4386 - Phone
- (720) 638-5474
- Fax
- (303) 955-0179
- NPI assigned
- Feb 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24773 | MA | |
| Physical Therapist | 225100000X | PTL.0015813 | CO | Primary |
Addresses
Primary practice location
9195 Grant St Ste 305
Thornton, CO 80229-4386
Mailing address
9195 Grant St Ste 305
Thornton, CO 80229-4386
Phone (720) 638-5474
Other practice location 1
220 Sutton St
North Andover, MA 01845-1680
Phone (978) 682-7009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, MA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0015813 | CO | MD | Physical Therapist |
| 24773 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restore Osteo of Colorado LLC | Physical Therapist | Current | Accepting new patients |
| Bay State Physical Therapy of Randolph Inc | Current | Accepting new patients | |
| Bay State Physical Therapy of Randolph Inc | Physical Therapist | Current | Accepting new patients |
| Restore Osteo of Colorado LLC | Physical Therapist | Current | Accepting new patients |
Locations
400 Indiana St
Ste 280
Lakewood, CO 80401
Phone (303) 216-2661
9195 Grant St
Ste 305
Thornton, CO 80229
Phone (303) 216-2661
191 Blue Hills Pkwy
Milton, MA 02186
Phone (617) 696-1974
1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339
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.
-
- Physical Therapist
- Fall River, MA
- NPI 1164474334
-
- Internal Medicine Physician
- Greeley, CO
- NPI 1417670142
Physical Therapist
-
- Internal Medicine Physician
- Golden, CO
- NPI 1619581246
Physical Therapist
-
- Chiropractor
- Quincy, MA
- NPI 1316507627
-
- Physical Therapist
- Franklin, MA
- NPI 1821108549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1497388151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9195 GRANT ST STE 305",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294386",
"telephone_number": "720-638-5474",
"fax_number": "303-955-0179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9195 GRANT ST STE 305",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294386",
"telephone_number": "720-638-5474",
"fax_number": "303-955-0179"
}
],
"practiceLocations": [
{
"address_1": "220 Sutton St",
"address_purpose": "LOCATION",
"city": "North Andover",
"state": "MA",
"postal_code": "018451680",
"country_code": "US",
"telephone_number": "978-682-7009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEUNG",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-20",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "24773",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0015813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.