Active NPI
Kristin Lefebvre
- Physical Therapist
- Garnet Valley, PA
National Provider Identifier
1063876258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013793L
- Practice address
- 3629 Marian Dr
Garnet Valley, PA 19060-1617 - Phone
- (215) 805-9011
- NPI assigned
- Apr 13, 2016
- Last updated
- Apr 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT013793L | PA | Primary |
| Physical Therapist | 225100000X | J1-00002417 | DE |
Addresses
Primary practice location
3629 Marian Dr
Garnet Valley, PA 19060-1617
Mailing address
128 Tuckaway Dr
Wilmington, DE 19803-3900
Phone (302) 561-0787
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-00002417 | DE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1063876258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 TUCKAWAY DR",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198033900",
"telephone_number": "302-561-0787",
"fax_number": "610-499-1231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3629 MARIAN DR",
"city": "GARNET VALLEY",
"state": "PA",
"postal_code": "190601617",
"telephone_number": "215-805-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFEBVRE",
"first_name": "KRISTIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-13",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT013793L",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-00002417",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garnet Valley, PA
- K & K RX Services, LP (BioMatrix Specialty Pharmacy PA)
- K & K RX Services, LP (BioMatrix Specialty Pharmacy PA)
- K & K RX Services, LP (BioMatrix Specialty Pharmacy PA)
- Tep M Kang, PHARMD, BCPS
- Jillian Dougherty Laude, PHARMD, BCPS
- Lifeturn Network, LLC (Life Turn Healing Center)
- Rose M. Likeness, PSY.D.
- Gene P Maraldo, RPH
- Paris Trent Massey
- Matson Performance Group (Mid-Atlantic Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.