Mirit Hazan Liebman

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT30064 Issued in FL

Practice address

5400 S University Dr Ste 603
Davie, FL 33328-5314

Phone

(954) 900-2942

Fax

(954) 451-3948

NPI assigned

Feb 10, 2016

Sex

Female

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)

Enrolled

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.

• Florida Chiropractic & Sports Rehab Center Davie, LLC

  • Chiropractor
  • Plantation, FL
  • NPI 1700077963
  NPD

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1003274606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR STE 603",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285314",
            "telephone_number": "954-900-2942",
            "fax_number": "954-451-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR STE 603",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285314",
            "telephone_number": "954-900-2942",
            "fax_number": "954-451-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBMAN",
        "first_name": "MIRIT",
        "middle_name": "HAZAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Majorie Marrie Lewis, M.D.
• Mayssa Myshel Lewis
• Elisa Natalia Lezcano, MS-SLP-CF
• Haitao Li, B.D.S., PHD
• Helene Ann Lieberman, MS, OTR
• Life Changing Development Center
• Lifeline Healthcare Services Inc
• Skendi Lile
• Lilpicassos,Inc.
• Lily Xu DDS

• Physical Therapist in Davie, FL
• Providers in Davie, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.