Active NPI
Maria C Tibbe, PT
- Physical Therapist
- Westbury, NY
National Provider Identifier
1023106366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0157421
- Practice address
- 3400 Brush Hollow Rd
Westbury, NY 11590-1712 - Phone
- (516) 903-4563
- Fax
- (631) 775-0142
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0157421 | NY | Primary |
Addresses
Primary practice location
3400 Brush Hollow Rd
Westbury, NY 11590-1712
Mailing address
511 Weeks Ave
Manorville, NY 11949-2044
Phone (516) 903-4563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0157421 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1023106366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 WEEKS AVE",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119492044",
"telephone_number": "516-903-4563",
"fax_number": "631-775-0142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BRUSH HOLLOW RD",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115901712",
"telephone_number": "516-903-4563",
"fax_number": "631-775-0142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIBBE",
"first_name": "MARIA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0157421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.