Individual provider Active NPI

Leah J Luther, P.T.

  • Physical Therapist
  • Broomfield, CO
National Provider Identifier
1689628539
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7732 Issued in CO
Practice address
290 Nickel St
Suite 200
Broomfield, CO 80020-2183
Phone
(303) 460-9151
Fax
(303) 460-7443
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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 7732 CO Primary

Addresses

Primary practice location

290 Nickel St
Suite 200
Broomfield, CO 80020-2183

Mailing address

290 Nickel St
Suite 200
Broomfield, CO 80020-2183
Phone (303) 460-9151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051116000408 CO Practitioner - Physical Therapist in Private Practice 9335168640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Medical Group Denver LLCGroup PAC ID 0840513552, 571 clinicians

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

16570 Washington St
Larkridge Clinic
Thornton, CO 80023-8964
Phone (303) 689-6600

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

8550 W 38TH Ave
100 Wheat Ridge Clinic Occupational Medicin
Wheat Ridge, CO 80033-1724
Phone (303) 467-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Jun 8, 2015 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jun 8, 2015 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients

Locations

12169 Sheridan Blvd
Broomfield, CO 80020
Phone (303) 439-0169

500 Eldorado Blvd
Ste 6250
Broomfield, CO 80021
Phone (303) 272-0750

2807 Roslyn St
Denver, CO 80238
Phone (303) 403-6333

12790 W Alameda Pkwy
Ste A
Lakewood, CO 80228
Phone (303) 403-6350

16570 Washington St
Thornton, CO 80023
Phone (303) 498-1885

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1689628539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 NICKEL ST",
            "address_2": "SUITE 200",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202183",
            "telephone_number": "303-460-9151",
            "fax_number": "303-460-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 NICKEL ST",
            "address_2": "SUITE 200",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202183",
            "telephone_number": "303-460-9151",
            "fax_number": "303-460-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTHER",
        "first_name": "LEAH",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.