Individual provider Active NPI

Catherine Louise Lebryk, ATC

  • Athletic Trainer
  • Munster, IN
National Provider Identifier
1659849461
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
9042 Columbia Ave Ste B
Munster, IN 46321-2928
Phone
(219) 836-4461
Fax
(219) 703-6660
NPI assigned
Nov 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X IN Primary

Addresses

Primary practice location

9042 Columbia Ave Ste B
Munster, IN 46321-2928

Mailing address

8202 Euclid Ave
Munster, IN 46321-1708
Phone (219) 836-8332

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

NPI Registry JSON

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1659849461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 EUCLID AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211708",
            "telephone_number": "219-836-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9042 COLUMBIA AVE STE B",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212928",
            "telephone_number": "219-836-4461",
            "fax_number": "219-703-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBRYK",
        "first_name": "CATHERINE",
        "middle_name": "LOUISE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.