Individual provider Active NPI

Sophie Devorah Lefevre, CTRS, BCBA

  • Recreation Therapist
  • Ypsilanti, MI
National Provider Identifier
1275917841
Registry record updated May 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
License
66391 Issued in MI
Practice address
7794 Paint Creek Dr
Ypsilanti, MI 48197-6139
Phone
(734) 352-3543
Fax
(734) 547-5462
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-23-65697 MI
Recreation Therapist 225800000X 66391 MI Primary

Addresses

Primary practice location

7794 Paint Creek Dr
Ypsilanti, MI 48197-6139

Mailing address

3588 Plymouth Rd # 393
Ann Arbor, MI 48105-2603
Phone (734) 352-3543

Other names 1

  • Sophie Devorah Lester Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
66391MIMDRecreation Therapist

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684022400000",
    "number": "1275917841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3588 PLYMOUTH RD # 393",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052603",
            "telephone_number": "734-352-3543",
            "fax_number": "734-547-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7794 PAINT CREEK DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976139",
            "telephone_number": "734-352-3543",
            "fax_number": "734-547-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFEVRE",
        "first_name": "SOPHIE",
        "middle_name": "DEVORAH",
        "name_prefix": "Mrs.",
        "credential": "CTRS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2023-05-14",
        "certification_date": "2023-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-23-65697",
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "MI",
            "license": "66391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIE",
            "last_name": "LESTER",
            "middle_name": "DEVORAH",
            "credential": "CTRS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2023; 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.