Molly Lianne Cleveland, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0018199 Issued in CO

Practice address

5980 Stetson Hills Blvd Ste 100
Colorado Springs, CO 80923-3633

Phone

(719) 574-3111

Fax

(719) 574-2912

NPI assigned

Jan 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Molly Lianne Koeneman Former name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Springs Orthopaedic GroupGroup PAC ID 5395633747, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Colorado Springs Orthopaedic Group

  • Specialist
  • Colorado Springs, CO
  • NPI 1972578359
  Medicare reassignment Care Compare group NPD
• Colorado Health & Rehab LLC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1336542125
  Medicare reassignment NPD
• Colorado Health & Rehab LLC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1649875378
  NPD
• Colorado Health & Rehab LLC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1912596941
  NPD
• Colorado Springs Orthopaedic Group

  • Specialist
  • Colorado Springs, CO
  • NPI 1356317135
  NPD
• Colorado Springs Orthopaedic Group

  • Durable Medical Equipment & Medical Supplies
  • Colorado Springs, CO
  • NPI 1417957275
  NPD

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1629667654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "406-756-0134",
            "fax_number": "406-300-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 STETSON HILLS BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233633",
            "telephone_number": "719-574-3111",
            "fax_number": "719-574-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "MOLLY",
        "middle_name": "LIANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2024-07-12",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0018199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "KOENEMAN",
            "middle_name": "LIANNE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Clements, MA
• Anne Rundle Clemmer, PSYD
• Isobel Cleveland
• Joshua David Cleveland, LMT
• Michael Cleveland
• Sabrina Dahl Cleveland, LCSW
• Samantha Clevenger
• Clifford Consulting and Research Inc
• Beverly Clifford
• Lawrence Zachary Clifford, M.A., BCBA

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.