Individual provider Active NPI

Calvin Lee Lefebvre, MPT

  • Physical Therapist
  • Laguna Hills, CA
National Provider Identifier
1851688071
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37989 Issued in CA
Practice address
25231 Paseo de Alicia
Ste 110
Laguna Hills, CA 92653-4615
Phone
(949) 244-4675
NPI assigned
Jul 8, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT37989 CA Primary

Addresses

Primary practice location

25231 Paseo de Alicia
Ste 110
Laguna Hills, CA 92653-4615

Mailing address

25231 Paseo de Alicia
Ste 110
Laguna Hills, CA 92653-4615
Phone (949) 244-4675

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121026000147 CA Practitioner - Physical Therapist in Private Practice 1759531858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Physical Therapy and Sports Lab IncGroup PAC ID 3173804317, 2 clinicians

Practice addresses (Care Compare)

25231 Paseo de Alicia
Suite 110
Laguna Hills, CA 92653-4615
Phone (949) 716-4889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37989CAMDDentist
PT37989CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pack Physical Therapy, Inc. Physical Therapist CurrentSince Jul 1, 2012 Accepting new patients
Rausch Physical Therapy, Inc. Physical Therapist CurrentSince Dec 11, 2017 Accepting new patients
Performance Physical Therapy and Sports Lab Inc. CurrentSince Oct 29, 2016 Accepting new patients
Pack Physical Therapy Past Accepting new patients

Locations

24582 Del Prado
Ste C
Dana Point, CA 92629
Phone (949) 276-5401

25231 Paseo de Alicia
Ste 110
Laguna Hills, CA 92653
Phone (949) 244-4675

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1851688071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25231 PASEO DE ALICIA",
            "address_2": "STE 110",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534615",
            "telephone_number": "949-244-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25231 PASEO DE ALICIA",
            "address_2": "STE 110",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534615",
            "telephone_number": "949-244-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFEBVRE",
        "first_name": "CALVIN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT37989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.