Active NPI
Spencer Lebel, DPT
- Physical Therapist
- West Hartford, CT
National Provider Identifier
1114693033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13265
- Practice address
- 133 S Main St
West Hartford, CT 06107-3431 - Phone
- (860) 940-2001
- NPI assigned
- Aug 19, 2021
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13265 | CT | Primary |
Addresses
Primary practice location
133 S Main St
West Hartford, CT 06107-3431
Mailing address
47 N Main St
West Hartford, CT 06107-1926
Phone (860) 409-4595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Lumber St
Suite 201
Hopkinton, MA 01748-2365
Phone (508) 544-1540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13265 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Physical Therapy & Wellness, Inc | Physical Therapist | Current | Accepting new patients |
| Sacred Heart University, Inc | Physical Therapist | Past | Accepting new patients |
Locations
275 Mystic Ave
Ste C
Medford, MA 02155
Phone (781) 572-2965
259 Swanton St
Ste A
Winchester, MA 01890
Phone (781) 560-2465
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Medford, MA
- NPI 1114315579
-
- Rehabilitation Practitioner
- Ashland, MA
- NPI 1417010174
-
- Physical Therapist
- Fairfield, CT
- NPI 1154678928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1114693033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 N MAIN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061071926",
"telephone_number": "860-409-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 S MAIN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061073431",
"telephone_number": "860-940-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBEL",
"first_name": "SPENCER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-19",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "13265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.