John K Libby, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3550 Issued in ME

Practice address

1190 Lisbon St
Lewiston, ME 04240-5063

Phone

(207) 376-3000

Fax

(207) 373-3003

NPI assigned

Jul 23, 2012

Last updated

Jun 25, 2015By the provider in NPPES

Sex

Male

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 ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Rehabilitation Network LLCGroup PAC ID 7618872086, 105 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pinnacle Rehabilitation Network, LLC

  dba Advanced Physical Therapy

  • Physical Therapist
  • Scarborough, ME
  • NPI 1437247095
  Medicare reassignment Care Compare group NPD
• Pinnacle Rehabilitation Network LLC

  dba Alliance Physical Therapy

  • Physical Therapist
  • Portland, ME
  • NPI 1043688039
  NPD
• Pinnacle Rehabilitation Network LLC

  dba Waypoint Physical Therapy

  • Physical Therapist
  • Freeport, ME
  • NPI 1235940388
  NPD
• Pinnacle Rehabilitation Network, LLC

  dba Proactive Physical Therapy

  • Physical Therapist
  • Lewiston, ME
  • NPI 1285813246
  NPD (past)

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1053666339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NEWTON RD",
            "address_2": "STE 101",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652424",
            "telephone_number": "978-388-7272",
            "fax_number": "978-388-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 LISBON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405063",
            "telephone_number": "207-376-3000",
            "fax_number": "207-373-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "JOHN",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "3550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lewiston School Department
• Lewiston School Department
• Lewiston-Auburn Pathology
• Bryce JF Libby, LCSW
• John Libby, LCSW
• Jonathan Libby, DNP, APRN, CPNP
• Michael Eric Libby
• Anita Lichman, LCSW
• Life Ideals, LLC
• Life Seasons, LLC

• Physical Therapist in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.