Organization Active NPI

Physical Freedom, LLC

  • Physical Therapist
  • Evergreen, CO
National Provider Identifier
1659033777
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL FREEDOM, LLC
Practice address
32156 Castle CT Ste 101
Evergreen, CO 80439-9517
Phone
(172) 034-1795
NPI assigned
Oct 6, 2021
Last updated
Oct 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Jaime Leleszi, PT
Title
Owner/Physical Therapist
Phone
(720) 341-7959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

32156 Castle CT Ste 101
Evergreen, CO 80439-9517

Mailing address

3338 Russell Gulch Rd
Evergreen, CO 80439-9256
Phone (720) 341-7959

Other identifiers 1

IdentifierTypeStateIssuer
0007852OtherCOPT LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL WebPT Other
Other URL physicalfreedompt@yahoo.com Direct

National Provider Directory

National Provider Directory

Locations

32156 Castle Ct
Ste 101
Evergreen, CO 80439

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1659033777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3338 RUSSELL GULCH RD",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399256",
            "telephone_number": "720-341-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32156 CASTLE CT STE 101",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399517",
            "telephone_number": "172-034-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL FREEDOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "LELESZI",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "720-341-7959",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "0007852",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "endpointDescription": "Documentation",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Documentation",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Documentation",
            "address_1": "3338 Russell Gulch Rd",
            "city": "Evergreen",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804399256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "physicalfreedompt@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3338 Russell Gulch Rd",
            "city": "Evergreen",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804399256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.