Liberal Intensive Rehabilitation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

MA63008 Issued in FL

Legal business name

LIBERAL INTENSIVE REHABILITATION

Practice address

105 Wilson St
Liberal, KS 67901-4053

Phone

(786) 300-7706

NPI assigned

Nov 6, 2012

Organization subpart

No

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

Authorized official

Name

Carlos Mendes, MA63008

Title

Owner/Manager

Phone

(786) 300-7706

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1063766517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WILSON ST",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679014053",
            "telephone_number": "786-300-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WILSON ST",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679014053",
            "telephone_number": "786-300-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERAL INTENSIVE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "MENDES",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "786-300-7706",
        "authorized_official_credential": "MA63008"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MA63008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberal Anesthesia Consultants LLC
• Liberal Diagnostics, LLC
• Liberal Family Chiropractic
• Liberal Family Chiropractic Inc
• Liberal Family Medicine, LLC
• Liberal Med Link LLC (Med Link Mobility)
• Liberal SNF Op Co LLC (Wheatridge Park Care Center)
• Liberal Urgent Care LLC
• Liberal Usd 480
• Lincare Inc.

• Physical Therapy Clinic/Center in Liberal, KS
• Providers in Liberal, KS by specialty
• Physical Therapy Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.