Individual provider Active NPI

Lizabeth Gober, MPT

  • Physical Therapist
  • Mount Joy, PA
National Provider Identifier
1083853857
Registry record updated Jan 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009936L Issued in PA
Practice address
755 E Main St
Mount Joy, PA 17552-9510
Phone
(717) 653-0323
Fax
(717) 653-0527
NPI assigned
Feb 18, 2009
Last updated
Jan 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT009936L PA Primary

Addresses

Primary practice location

755 E Main St
Mount Joy, PA 17552-9510

Mailing address

5300 Derry St
2ND Floor
Harrisburg, PA 17111-3576
Phone (717) 839-2110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150220001510 PA Practitioner - Physical Therapist in Private Practice 9739404476 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Sep 21, 2016 Accepting new patients
Halat Physical Therapy, Inc. Physical Therapist CurrentSince Feb 15, 2015 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Sep 21, 2016 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
FC Select LLC Physical Therapist CurrentSince Dec 14, 2015 Accepting new patients
PSHR Physical Therapy, LLC Physical Therapist CurrentSince Feb 15, 2015 Accepting new patients
PHS Physical Therapy, LLC Physical Therapist CurrentSince Feb 15, 2015 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

4033 Linglestown Rd
Ste 2
Harrisburg, PA 17112
Phone (717) 657-8240

5300 Derry St
Fl 2
Harrisburg, PA 17111

308 Hockersville Rd
Hershey, PA 17033
Phone (717) 298-1411

8205 Presidents Dr
#2
Hummelstown, PA 17036
Phone (717) 803-2560

912 Russell Dr
Lebanon, PA 17042
Phone (717) 272-7971

1535 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 625-5731

755 E Main St
Mount Joy, PA 17552
Phone (717) 492-8708

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483315200000",
    "number": "1083853857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 DERRY ST",
            "address_2": "2ND FLOOR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113576",
            "telephone_number": "717-839-2110",
            "fax_number": "717-565-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E MAIN ST",
            "city": "MOUNT JOY",
            "state": "PA",
            "postal_code": "175529510",
            "telephone_number": "717-653-0323",
            "fax_number": "717-653-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBER",
        "first_name": "LIZABETH",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2017-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009936L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Joy, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; 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.