Trevor Matthew Liechty

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

8966 Spring Violet PL
Zionsville, IN 46077-7506

Phone

(317) 797-1825

NPI assigned

Oct 28, 2019

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1376186841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8966 SPRING VIOLET PL",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460777506",
            "telephone_number": "317-797-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8966 SPRING VIOLET PL",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460777506",
            "telephone_number": "317-797-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIECHTY",
        "first_name": "TREVOR",
        "middle_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Leising
• Kimberly Jo Lentz, MD
• Jay Leone, D.D.S.
• Shelby P Lewellen, MD
• Max E Lewis, MD
• Austin Ray Lifferth, OD
• David Lin, MD
• Livengood Wellness Corporation
• Anne Marie Llewellyn
• Javan Unissa Lockhart, MSW

• Athletic Trainer in Zionsville, IN
• Providers in Zionsville, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.