Ryan Leibreich, MS, ATC,CSCS, USAW-1

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT005116 Issued in PA

Practice address

712 Hanover MNR
Apartment F- 108
Carlisle, PA 17013-2035

Phone

(937) 403-8312

NPI assigned

Apr 21, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1104213784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 HANOVER MNR",
            "address_2": "APARTMENT F- 108",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 HANOVER MNR",
            "address_2": "APARTMENT F- 108",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132035",
            "telephone_number": "937-403-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBREICH",
        "first_name": "RYAN",
        "credential": "MS, ATC,CSCS, USAW-1",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT005116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leedy/Abbey Counseling Services, LLC
• Breenea Arlene Legg
• Matthew Stephen Legg, MD
• Matthew Lehman
• Michael Lehr, PHARMD
• Emily C Leitzel, LPC
• Heather Lenker, COTA/L
• Alan E Lentz, DMD
• Leonard J. Kielbasa, D.C.
• Barbara Jane Leonard, R.N.,C.R.R.N.C.C.M.C

• Athletic Trainer in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.