Individual provider Active NPI

Coleman Lefevor, DPT

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1598227993
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-30616 Issued in AZ
Practice address
3306 S Higley Rd Ste 103
Gilbert, AZ 85297-2209
Phone
(480) 729-8315
Fax
(480) 542-6460
NPI assigned
Apr 3, 2019
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X LPT-30616 AZ Primary

Addresses

Primary practice location

3306 S Higley Rd Ste 103
Gilbert, AZ 85297-2209

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190503002336 AZ Practitioner - Physical Therapist in Private Practice 0648512004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

3306 S Higley Rd
Suite 103
Gilbert, AZ 85297-2211
Phone (480) 729-8315

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-30616AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Oct 12, 2021 Accepting new patients
Inbalance PT LLC Physical Therapist CurrentSince Apr 5, 2019 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Oct 12, 2021 Accepting new patients

Locations

3306 S Higley Rd
Ste 103
Gilbert, AZ 85297
Phone (480) 729-8315

6070 W Bell Rd
Ste A103
Glendale, AZ 85308
Phone (602) 782-3965

36397 N Gantzel Rd
Ste 102
San Tan Vly, AZ 85140
Phone (480) 567-2231

6970 N Oracle Rd
Ste 130
Tucson, AZ 85704
Phone (520) 219-5825

8270 S Houghton Rd
Ste 180
Tucson, AZ 85747
Phone (520) 664-1430

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

Interoperability endpoints

  • Direct secure messaging: coleman.lefevor.p6@direct.athleticoltd.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1598227993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200",
            "fax_number": "630-575-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 S HIGLEY RD STE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852972209",
            "telephone_number": "480-729-8315",
            "fax_number": "480-542-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFEVOR",
        "first_name": "COLEMAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.