Nicole Leon, DPT | |
1600 Prairie Center Pkwy, Brighton, CO 80601-4006 | |
(505) 498-1841 | |
Not Available |
Full Name | Nicole Leon |
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Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 1600 Prairie Center Pkwy, Brighton, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114626041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | PTL.004116 (Colorado) | Primary |
Entity Name | Momentum Physical Therapy Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720094329 PECOS PAC ID: 4183514797 Enrollment ID: O20040317001286 |
Mailing Address | Practice Location Address |
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Nicole Leon, DPT 625 Flagler Rd, Fort Collins, CO 80525-7030 Ph: (505) 321-2425 | Nicole Leon, DPT 1600 Prairie Center Pkwy, Brighton, CO 80601-4006 Ph: (505) 498-1841 |
Taylor Elise Albaugh, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1606 Prairie Center Pkwy Ste 130, Brighton, CO 80601 Phone: 303-498-1840 | |
Ms. Rebecca Wagnaar, P.T. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1600 Prairie Center Pkwy, Brighton, CO 80601 Phone: 303-498-1840 Fax: 303-498-1845 |