Derrick Lecy, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0349 Issued in SD

Practice address

501 E Saint Joseph St
Rapid City, SD 57701-3901

Phone

(605) 394-2351

NPI assigned

Apr 21, 2014

Last updated

Apr 21, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1821418617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E SAINT JOSEPH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E SAINT JOSEPH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013901",
            "telephone_number": "605-394-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECY",
        "first_name": "DERRICK",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SD",
            "license": "0349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarice A Lebrun, RN
• Lecy Chiropractic PC
• Lecy Family Chiropractic, P.C.
• Lecy Therapy LLC
• Daniel T. Lecy, D.C.
• Douglas J. Lecy, D.C.
• Natalie Jo Lecy, MSW, CSW
• Robin R Lecy, D.C.
• Laura Kay Lee Olson
• Terri L Lee

• Athletic Trainer in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Athletic Trainer in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.