Provider Demographics
NPI:1164456364
Name:LEIGHTON, STEPHEN ARMSTRONG (PT)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:ARMSTRONG
Last Name:LEIGHTON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1761
Mailing Address - Street 2:
Mailing Address - City:PAONIA
Mailing Address - State:CO
Mailing Address - Zip Code:81428-1761
Mailing Address - Country:US
Mailing Address - Phone:970-527-8967
Mailing Address - Fax:970-527-3213
Practice Address - Street 1:101 ONARGA AVE
Practice Address - Street 2:
Practice Address - City:PAONIA
Practice Address - State:CO
Practice Address - Zip Code:81428-5068
Practice Address - Country:US
Practice Address - Phone:970-527-8967
Practice Address - Fax:970-527-3213
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3724225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC806814Medicare PIN