Active NPI
Corey Lefebvre
- Athletic Trainer
- Springfield, MA
National Provider Identifier
1558731133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2777
- Practice address
- 263 Alden St
Springfield, MA 01109-3707 - Phone
- (401) 808-0479
- NPI assigned
- Sep 25, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2777 | MA | Primary |
Addresses
Primary practice location
263 Alden St
Springfield, MA 01109-3707
Mailing address
1550 Victory Hwy
North Smithfield, RI 02896-7820
Phone (401) 808-0479
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2777 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443139200000",
"number": "1558731133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 VICTORY HWY",
"city": "NORTH SMITHFIELD",
"state": "RI",
"postal_code": "028967820",
"telephone_number": "401-808-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 ALDEN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011093707",
"telephone_number": "401-808-0479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFEBVRE",
"first_name": "COREY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-25",
"last_updated": "2015-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "2777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.