Rachel Libonati

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

291627 Issued in CA

Practice address

2492 Walnut Ave
#140
Tustin, CA 92780-6953

Phone

(714) 544-2188

NPI assigned

Oct 10, 2016

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Herman Ostrow School of Dentistry of Usc, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State-of-the-Art Physical Therapy, Inc.Group PAC ID 5496948952, 10 clinicians

Practice addresses (Care Compare)

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.

• State-of-the-Art Physical Therapy, Inc.

  • Physical Therapist
  • Tustin, CA
  • NPI 1437179959
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1013467471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CALLE MARTA",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2492 WALNUT AVE",
            "address_2": "#140",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806953",
            "telephone_number": "714-544-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBONATI",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "291627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Dental Plan of Oklahoma, Inc.
• Liberty Dental Plan of Texas, Inc.
• Liberty Dental Plan of the Southeast, Inc.
• Liberty Dental Plan Reinsurance Company, LTD.
• Liberty Dental, P.a.
• Devin Lichtenwalter
• Elvia Lidar, LVN
• Elizabeth Grace Liem
• Wieke H Liem, M.D.
• Megan M Lieu, O.D.

• Physical Therapist in Tustin, CA
• Providers in Tustin, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.