Leslie John Babbitt III, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601001860 Issued in MI

Practice address

775 S Main St
Chelsea, MI 48118-1383

Phone

(810) 360-3134

NPI assigned

Mar 16, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1003209958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E UNADILLA ST",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481699050",
            "telephone_number": "810-360-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 S MAIN ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181383",
            "telephone_number": "810-360-3134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 E Unadilla St",
            "address_purpose": "LOCATION",
            "city": "Pinckney",
            "state": "MI",
            "postal_code": "481699050",
            "country_code": "US",
            "telephone_number": "810-360-3134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABBITT",
        "first_name": "LESLIE",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "AT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Chelsea, MI
• Providers in Chelsea, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.