Individual provider Active NPI

Todd Anthony Leach Jr., DC

  • Chiropractor
  • Fort Collins, CO
National Provider Identifier
1548913635
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0008470 Issued in CO
Practice address
838 W Drake Rd Ste 105
Fort Collins, CO 80526-5539
Phone
(602) 518-4851
NPI assigned
Jan 31, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0008470 CO Primary

Addresses

Primary practice location

838 W Drake Rd Ste 105
Fort Collins, CO 80526-5539

Mailing address

775 W Lake St Unit 2528
Fort Collins, CO 80521-4749
Phone (602) 518-4851

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221110001588 CO Practitioner - Chiropractic 2163899709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Ethos Chiropractic LLCGroup PAC ID 2163892779, 3 clinicians

Practice addresses (Care Compare)

561 25 Rd
Unit 104
Grand Junction, CO 81505-1360
Phone (970) 989-9219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0008470COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ethos Chiropractic LLC Chiropractor CurrentSince Nov 18, 2025 Accepting new patients

Locations

561 25 Rd
Unit 104
Grand Junction, CO 81505
Phone (970) 989-9219

561 25 Rd
Ste 104
Grand Junction, CO 81505
Phone (970) 341-8967

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": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1548913635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 W LAKE ST UNIT 2528",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805214749",
            "telephone_number": "602-518-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 W DRAKE RD STE 105",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265539",
            "telephone_number": "602-518-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "TODD",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0008470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.