JESSICA SHANAHAN LEIVERS (NPI# 1043441017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043441017 |
| Entity Type | Individual |
| Full Name | JESSICA SHANAHAN LEIVERS |
| Other Name | JESSICA LYNN SHANAHAN |
| Credential | DPT |
| Practice Address |
6160 Tutt Blvd Ste 240 Colorado Springs CO 80923-3502 |
| Practice Telephone | 7195960880 |
| Mailing Telephone | 7195960880 |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT9710 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
16832 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 455 Philip Blvd Bldg 100, Suite 160, Lawrenceville, GA 300468767 | 6789850238 | 6789850136 |
| Street Address |
6160 TUTT BLVD STE 240 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80923-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316098262 | Krista Bohlen | Physical Therapist | 6160 Tutt Blvd Ste 240, Colorado Springs, CO 80923-3502 | 2007-01-16 |
| 1548773500 | Christina Marie Banuelos | Physical Therapist | 6160 Tutt Blvd Ste 240, Colorado Springs, CO 80923-3502 | 2017-11-13 |
| 1407271901 | Cory Wright | Physical Therapist | 6160 Tutt Blvd Ste 240, Colorado Springs, CO 80923 | 2014-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942171 | Colorado Otolaryngology Associates, LLC | Specialist | 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 | 2020-11-06 |
| 1750993861 | Kara Pitou | Dietitian, Registered | 7064 Renegade Ridge Dr, Colorado Springs, CO 80923 | 2020-08-19 |
| 1366933632 | The Traveling Therapist, LLC | Social Worker | 6319 Sundance Kid Dr, Colorado Springs, CO 80923 | 2018-05-22 |
| 1669972246 | Stacy H Furukawa | Behavior Technician | 5719 Hawk Springs Dr, Colorado Springs, CO 80923 | 2018-02-20 |
| 1528573854 | Wal-mart Sores, Inc. | Durable Medical Equipment & Medical Supplies | 7825 Dublin Blvd, Colorado Springs, CO 80923 | 2017-12-08 |
| 1699148544 | Kristin Sekelsky | Nurse Practitioner | 6160 Tutt Blvd Ste 150, Colorado Springs, CO 80923 | 2015-11-01 |
| 1164826640 | Nancy Bakhtiar | Massage Therapist | 6160 Tutt Blve #102, Colorado Springs, CO 80923 | 2014-10-13 |
| 1558664326 | Helen Sobeck | Nurse Practitioner | 6001 E. Woodmen Road, Nicu St. Frances Medical Center, Colorado Springs, CO 80923 | 2010-12-16 |
| 1679891832 | Tristan Poe Lindberg | Pediatrics | 6001 E Woodmen Road, Colorado Springs, CO 80923 | 2010-05-12 |
| 1194058933 | Tiffany Ann Nelson | Physician Assistant | 6001 E. Woodmen Rd., St. Francis Medical Center - Nicu, Colorado Springs, CO 80923 | 2009-09-11 |
| Find all providers in zip 80923 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477070522 | Scott Sullivan | Physical Therapist | 5320 Mark Dabling Blvd # 100, Colorado Springs, CO 80918-3839 | 2017-08-29 |
| 1972023604 | David Ernesto Canales | Physical Therapist | 2438 Research Pkwy Ste 235, Colorado Springs, CO 80920-1094 | 2017-06-23 |
| 1851707905 | Heather Boehlke | Physical Therapist | 3356 Templeton Gap Rd, Colorado Springs, CO 80907-5738 | 2014-07-09 |
| 1902194921 | Eric Vande Griend | Physical Therapist | 3030 N Circle Dr Ste 215, Colorado Springs, CO 80909-1180 | 2011-07-11 |
| 1114158946 | Physioworks Physical Therapy | Physical Therapist | 1831 Austin Bluffs Pkwy Ste 100, Colorado Springs, CO 80918-7847 | 2009-07-28 |
| 1073724001 | Christopher J. Kaster | Physical Therapist | 5265 N Academy Blvd Ste 1500, Colorado Springs, CO 80918-4067 | 2007-05-24 |
| 1790821403 | Holtby & Bonack Ptr | Physical Therapist | 1825 Austin Bluffs Pkwy Ste 100, Colorado Springs, CO 80918-7861 | 2007-01-29 |
| 1669578787 | Brian Anthony Surage | Physical Therapist | 2228 N Wahsatch Ave, Colorado Springs, CO 80907-6940 | 2006-09-16 |
| 1053361030 | Ryan Thomas Girrbach | Physical Therapist | 8540 Scarborough Dr Ste 200, Colorado Springs, CO 80920-7513 | 2006-05-11 |
| 1033167655 | Michael W Applebee | Physical Therapist | 595 Chapel Hills Dr Ste 145, Colorado Springs, CO 80920-1024 | 2006-05-05 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80923 |
Please comment or provide details below to improve the information on JESSICA SHANAHAN LEIVERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.