Wilson I Lebita, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022496 Issued in NY

Practice address

191 North St Ste 8
Buffalo, NY 14201-1510

Phone

(716) 882-6000

Fax

(716) 882-6310

NPI assigned

Sep 23, 2006

Last updated

Mar 31, 2015By the provider in NPPES

Sex

Male

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

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renovatio Physical Therapy, P.C.

  • Physical Therapist
  • Buffalo, NY
  • NPI 1164578035
  Authorized official Same address or phone

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1043310725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 SPRUCE AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011033",
            "telephone_number": "716-882-6000",
            "fax_number": "716-882-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 NORTH ST STE 8",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011510",
            "telephone_number": "716-882-6000",
            "fax_number": "716-882-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBITA",
        "first_name": "WILSON",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Marie Leary, OCCUPATIONAL THERAPI
• Hannah Lease, MD
• Kathryn Marie Leavitt, LMSW
• Jenna Nicole Leber, O.D.
• Daniel Leberer, M.D.
• Laura L Lechner, OTR
• John Leddy, MD
• Lee M. Faver PHD Psychologist PC
• Anyoung Lee
• Anysia H Lee, MD

• Physical Therapist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.