Individual provider Active NPI

Emily Rose Leibforth, DC

  • Chiropractor
  • Minnetonka, MN
National Provider Identifier
1902603632
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7328 Issued in MN
Practice address
11349 Highway 7
Minnetonka, MN 55305-5300
Phone
(952) 229-8750
NPI assigned
Feb 28, 2025
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7328 MN Primary

Addresses

Primary practice location

11349 Highway 7
Minnetonka, MN 55305-5300

Mailing address

11349 Highway 7
Minnetonka, MN 55305-5300
Phone (952) 229-8750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924001311 NJ Practitioner - Chiropractic 8628573391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flourish Chiropractic and Wellness LLCGroup PAC ID 3870954548, 3 clinicians

Practice addresses (Care Compare)

24 E Prospect St
Waldwick, NJ 07463-2023
Phone (201) 389-9656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7328MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Minnetonka Family Chiropractic LLC CurrentSince Mar 11, 2025 Accepting new patients
Flourish Chiropractic & Wellness LLC Chiropractor CurrentSince Jul 18, 2025 Accepting new patients

Locations

11349 Highway 7
Minnetonka, MN 55305
Phone (952) 229-8750

24 E Prospect St
Waldwick, NJ 07463
Phone (201) 389-9656

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1902603632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11349 HIGHWAY 7",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055300",
            "telephone_number": "952-229-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11349 HIGHWAY 7",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055300",
            "telephone_number": "952-229-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBFORTH",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.