Individual provider Active NPI

Leah Marie Marti, PT

  • Physical Therapist
  • Grand Forks, ND
National Provider Identifier
1578826871
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1613 Issued in ND
Practice address
1300 S Columbia Rd
Grand Forks, ND 58201-4012
Phone
(701) 780-5000
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 1613 ND Primary

Addresses

Primary practice location

1300 S Columbia Rd
Grand Forks, ND 58201-4012

Mailing address

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210608001657 CO Practitioner - Physical Therapist in Private Practice 9133377351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katey Blehm M.a. CCC-SLPGroup PAC ID 3476866880, 13 clinicians

Practice addresses (Care Compare)

8415 Explorer Dr
Suite 150
Colorado Springs, CO 80920-1034
Phone (719) 332-4689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1613NDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Katey Blehm M.a. CCC-SLP Physical Therapist CurrentSince Jun 3, 2021 Accepting new patients
Katey Blehm M.a. CCC-SLP Physical Therapist CurrentSince Jun 3, 2021 Accepting new patients
Clinic Pharmacy Inc Past Accepting new patients

Locations

8415 Explorer Dr
Ste 150
Colorado Springs, CO 80920
Phone (719) 332-4689

6985 Tutt Blvd
Ste 100
Colorado Springs, CO 80923
Phone (719) 332-4689

6965 Tutt Blvd
Ste 100A
Colorado Springs, CO 80923
Phone (719) 332-4689

2776 Janitell Rd
Ofc
Colorado Springs, CO 80906
Phone (719) 332-4689

2776 Janitell Rd
Colorado Springs, CO 80906
Phone (719) 332-4689

Organizations & group practices 3

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578826871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014036",
            "telephone_number": "701-780-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014012",
            "telephone_number": "701-780-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTI",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.