NICOLE LEON (DPT) – Physical Medicine & Rehabilitation Physician, NPI 1114626041

NICOLE LEON (DPT) is a healthcare provider. based in Fort collins, Colorado. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PTL.004116 (CO). The NPI Number for NICOLE LEON (DPT) is 1114626041

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE LEON (DPT)
NPI
1114626041
Phone
(505) 321-2425
Address
625 FLAGLER RD
Enumeration Date
28 February 2023
Last Update Date
28 February 2023

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Secondary Phone
9703771422
Graduation Year
2016 (10 years ago)
PAC ID
0547634875
Group Practice PAC ID
4183514797
Professional Enrollment ID
I20230328000502
Address ID
CO805286104FO1939XDRXX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,988 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

Provider Addresses for NICOLE LEON (DPT)

  • 625 FLAGLER RD

    FORT COLLINS, CO 805257030

    Phone: (505) 321-2425

    Type: Mailing

  • 1600 PRAIRIE CENTER PKWY

    BRIGHTON, CO 806014006

    Phone: (505) 498-1841

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230328000502IPhysical Therapist In Private PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80525)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183514797View full group profile
NameSpecialtyState
-CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeAZ

Reviews

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Frequently asked questions

What is the registry number for NICOLE LEON (DPT)?
The registry entry for NICOLE LEON (DPT) shows NPI 1114626041.
Does the public listing show NICOLE LEON (DPT) as active?
NICOLE LEON (DPT)'s NPI record reflects an active status in NPPES.
How should patients interpret NICOLE LEON (DPT)'s specialty?
The extract shows Physical Medicine & Rehabilitation Physician for NICOLE LEON (DPT). Clinical services aligned with this taxonomy classification.
What geographic area is tied to NICOLE LEON (DPT)?
NICOLE LEON (DPT) is associated with Fort Collins, Colorado in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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