Individual provider Active NPI

Karen Helen Liberi, KAREN LIBERI

  • Physical Therapist
  • Adrian, MI
National Provider Identifier
1033187083
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013275 Issued in OH
Practice address
3806 Hillside CT
Adrian, MI 49221-9013
Phone
(517) 759-4921
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT013275 OH Primary
Physical Therapist 225100000X 5501014541 MI

Addresses

Primary practice location

3806 Hillside CT
Adrian, MI 49221-9013

Mailing address

6005 Monclova Rd Ste 320
Maumee, OH 43537-1862

Other names 1

  • Karen Sullivan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140415000478 OH Practitioner - Physical Therapist in Private Practice 9931166527 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501014541MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince May 12, 2024 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince May 12, 2024 Accepting new patients
Holistic Physical Therapy Services Inc. Physical Therapist PastSince Nov 4, 2003 Accepting new patients

Locations

7640 Sylvania Ave
Ste O
Sylvania, OH 43560
Phone (419) 517-1040

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

Organizations & group practices 3

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1033187083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 MONCLOVA RD STE 320",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 HILLSIDE CT",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492219013",
            "telephone_number": "517-759-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERI",
        "first_name": "KAREN",
        "middle_name": "HELEN",
        "name_prefix": "Mrs.",
        "credential": "KAREN LIBERI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT013275",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "SULLIVAN",
            "credential": "MS, MPT, WCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.