Individual provider Active NPI

Mary Rebecca Leibold, PT, MPT, MHS

  • Orthopedic Physical Therapist
  • Denver, CO
National Provider Identifier
1922056639
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
7221 Issued in CO
Practice address
2000 S Colorado Blvd Ste 1000
Denver, CO 80222-7939
Phone
(720) 848-8248
Fax
(720) 848-2058
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 7221 CO
Orthopedic Physical Therapist 2251X0800X 7221 CO Primary

Addresses

Primary practice location

2000 S Colorado Blvd Ste 1000
Denver, CO 80222-7939

Mailing address

2000 S Colorado Blvd Ste 1000
Denver, CO 80222-7939
Phone (720) 848-8248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7221COMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1922056639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S COLORADO BLVD STE 1000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802227939",
            "telephone_number": "720-848-8248",
            "fax_number": "720-848-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S COLORADO BLVD STE 1000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802227939",
            "telephone_number": "720-848-8248",
            "fax_number": "720-848-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBOLD",
        "first_name": "MARY",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "PT, MPT, MHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "7221",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "7221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.