Connor Leichtle, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

087833 Issued in IA

Practice address

930 Evashevski Dr
Iowa City, IA 52242-1186

Phone

(262) 355-6241

NPI assigned

Apr 1, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1043772874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 CABRINI CIR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530954623",
            "telephone_number": "262-355-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 EVASHEVSKI DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421186",
            "telephone_number": "262-355-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEICHTLE",
        "first_name": "CONNOR",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "087833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "endpointDescription": "Medical Record",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Online Medical Record System",
            "address_1": "930 Evashevski Dr",
            "city": "Iowa City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "522421186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Legacy Active Living Retirement Community
• Legacy Active Living Retirement Community
• Ryan Keegan Lehmann, D.O.
• Lauri Jo Lehn, PHD
• Alyssa Lehnen, ARNP
• Brooke Rachelle Leichty, PA
• Rebecca R Leidal, M.D.
• Grace Leidig
• Carolyn Leinenbach, RN
• Enrique C Leira, MD

• Athletic Trainer in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.