Active NPI
Sean James Leggett, ATC
- Athletic Trainer
- East Greenbush, NY
National Provider Identifier
1023534682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 002501-1
- Practice address
- 962 Luther Rd
East Greenbush, NY 12061-4015 - Phone
- (518) 207-2084
- Fax
- (518) 207-2089
- NPI assigned
- Aug 16, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 002501-1 | NY | Primary |
Addresses
Primary practice location
962 Luther Rd
East Greenbush, NY 12061-4015
Mailing address
3 Brigantine Dr
Waterford, NY 12188-1154
Phone (518) 810-7675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002501-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502841600000",
"number": "1023534682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BRIGANTINE DR",
"city": "WATERFORD",
"state": "NY",
"postal_code": "121881154",
"telephone_number": "518-810-7675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "962 LUTHER RD",
"city": "EAST GREENBUSH",
"state": "NY",
"postal_code": "120614015",
"telephone_number": "518-207-2084",
"fax_number": "518-207-2089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGGETT",
"first_name": "SEAN",
"middle_name": "JAMES",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-16",
"last_updated": "2017-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "002501-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Greenbush, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.