Individual provider Active NPI

Troy Lebiecki

  • Physical Therapist
  • Lansing, MI
National Provider Identifier
1407263916
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016666 Issued in MI
Practice address
1314 W Ottawa St
Lansing, MI 48915-2617
Phone
(269) 501-4147
NPI assigned
Jul 16, 2014
Last updated
Sep 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 60573 OR
Specialist 174400000X 1240957 TX
Physical Therapist 225100000X 5501016666 MI Primary

Addresses

Primary practice location

1314 W Ottawa St
Lansing, MI 48915-2617

Mailing address

1314 W Ottawa St
Lansing, MI 48915-2617
Phone (269) 501-4147

Other identifiers 1

IdentifierTypeStateIssuer
60573OtherOROREGON PHYSICAL THERAPY LICENSE

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

State licenses

LicenseStateTypeSpecialty
60573ORMDSpecialist
1240957TXMDSpecialist
5501016666MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1407263916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 W OTTAWA ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489152617",
            "telephone_number": "269-501-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 W OTTAWA ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489152617",
            "telephone_number": "269-501-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBIECKI",
        "first_name": "TROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-16",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "60573",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1240957",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON PHYSICAL THERAPY LICENSE",
            "identifier": "60573",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.