Organization Active NPI

Paul Lessard

  • Athletic Trainer
  • Boston, MA
National Provider Identifier
1265568828
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Legal business name
PAUL LESSARD
Practice address
4 Yawkey Way
Boston, MA 02215-3409
Phone
(617) 226-6163
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Paul Richard Lessard
Title
Head Athletic Trainer
Phone
(617) 226-6163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X MA Primary

Addresses

Primary practice location

4 Yawkey Way
Boston, MA 02215-3409

Mailing address

4 Yawkey Way
Boston, MA 02215-3409
Phone (617) 226-6163

National Provider Directory

National Provider Directory

Locations

4 Jersey St
Boston, MA 02215
Phone (617) 226-6163

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265568828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 YAWKEY WAY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153409",
            "telephone_number": "617-226-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 YAWKEY WAY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153409",
            "telephone_number": "617-226-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL LESSARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LESSARD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "HEAD ATHLETIC TRAINER",
        "authorized_official_telephone_number": "617-226-6163",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.