Active NPI
David Harry Leombruno, PTA
- Physical Therapy Assistant
- Chicopee, MA
National Provider Identifier
1033764386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 9393
- Practice address
- 11 Saint Anthony St
Chicopee, MA 01013-2141 - Phone
- (413) 315-4205
- NPI assigned
- Aug 5, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 9393 | MA | Primary |
Addresses
Primary practice location
11 Saint Anthony St
Chicopee, MA 01013-2141
Mailing address
30 Saint Jacques Ave
Chicopee, MA 01020-4254
Phone (774) 766-2482
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 |
|---|---|---|---|
| 9393 | MA | MD | Hand Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1033764386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 SAINT JACQUES AVE",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010204254",
"telephone_number": "774-766-2482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 SAINT ANTHONY ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010132141",
"telephone_number": "413-315-4205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEOMBRUNO",
"first_name": "DAVID",
"middle_name": "HARRY",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-05",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "9393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicopee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.