Active NPI
Kaylee Lecavalier, PT, DPT
- Physical Therapist
- Quincy, MA
National Provider Identifier
1124588595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24152
- Practice address
- 2300 Crown Colony Dr Ste 102
Quincy, MA 02169-0902 - Phone
- (781) 986-0990
- Fax
- (781) 986-0991
- NPI assigned
- Mar 22, 2019
- Sex
- Female
- 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 | 24152 | MA | Primary |
Addresses
Primary practice location
2300 Crown Colony Dr Ste 102
Quincy, MA 02169-0902
Mailing address
2300 Crown Colony Dr Ste 102
Quincy, MA 02169-0902
Phone (781) 986-0990
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1124588595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 CROWN COLONY DR STE 102",
"city": "QUINCY",
"state": "MA",
"postal_code": "021690902",
"telephone_number": "781-986-0990",
"fax_number": "781-986-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 CROWN COLONY DR STE 102",
"city": "QUINCY",
"state": "MA",
"postal_code": "021690902",
"telephone_number": "781-986-0990",
"fax_number": "781-986-0991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECAVALIER",
"first_name": "KAYLEE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-22",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "24152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.