Kimberly B Lebron, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006080 Issued in CT

Practice address

2B Lee Rd
Lisbon, CT 06351-3042

Phone

(860) 376-2564

Fax

(860) 376-4812

NPI assigned

Jul 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kimberly D Bartlett Former name

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Connecticut Rehabilitation CentersGroup PAC ID 2961395173, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eastern Connecticut Rehabilitation Centers

  • Physical Therapy Clinic/Center
  • Killingly, CT
  • NPI 1952310971
  Medicare reassignment Care Compare group NPD
• Eastern Connecticut Rehabili

  • Physical Therapy Clinic/Center
  • Gales Ferry, CT
  • NPI 1700895729
  NPD
• Killingly Medical Center LLC

  • Family Medicine Physician
  • Dayville, CT
  • NPI 1609306539
  NPD (past)
• Orthopedic Physical Therapy of Southern New England LLC

  • Specialist
  • Norwich, CT
  • NPI 1043488059

  Physical Therapist

  NPD (past)
• Shoreline Physical Therapy, LLC

  • Physical Therapist
  • East Lyme, CT
  • NPI 1841489168
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1982603114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2B LEE ROAD",
            "city": "LISBON",
            "state": "CT",
            "postal_code": "06351",
            "telephone_number": "860-376-2564",
            "fax_number": "860-376-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2B LEE RD",
            "city": "LISBON",
            "state": "CT",
            "postal_code": "063513042",
            "telephone_number": "860-376-2564",
            "fax_number": "860-376-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBRON",
        "first_name": "KIMBERLY",
        "middle_name": "B",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004185741",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BARTLETT",
            "middle_name": "D",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jasmin Henville DMD - Libson PC
• Meredyth Joly, ATC
• Mark Kasabuski
• Kayla Nickerson, LMFT LLC
• Ryan Leblanc, PT
• Margaret Ann Lewerk, PA
• Lisbon Central School
• Cynthia Booth Lord, PA-C
• Barbara Rajone Love, PT
• Michelle Gaye Lussier, P.T

• Physical Therapist in Lisbon, CT
• Providers in Lisbon, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.