Individual provider Active NPI

Morgan Lynn Leyba, DPT

  • Physical Therapist
  • Laramie, WY
National Provider Identifier
1699205195
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-1714 Issued in WY
Practice address
3905 E Grand Ave Ste 200
Laramie, WY 82070-5189
Phone
(307) 742-2082
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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 PT-1714 WY Primary

Addresses

Primary practice location

3905 E Grand Ave Ste 200
Laramie, WY 82070-5189

Mailing address

4203 Moraine St
Laramie, WY 82070-5719
Phone (307) 299-0493

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170809001143 WY Practitioner - Physical Therapist in Private Practice 7719258755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine and Injury Clinic of Laramie PCGroup PAC ID 0941387997, 9 clinicians

Practice addresses (Care Compare)

3905 E Grand Ave
Suite 200
Laramie, WY 82070-5189
Phone (307) 742-2082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-1714WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Injury Clinic of Laramie, PC Physical Therapist CurrentSince Jun 22, 2017 Accepting new patients

Locations

3905 E Grand Ave
Ste 200
Laramie, WY 82070
Phone (307) 742-2082

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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1699205195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 MORAINE ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705719",
            "telephone_number": "307-299-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 E GRAND AVE STE 200",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705189",
            "telephone_number": "307-742-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYBA",
        "first_name": "MORGAN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-1714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.