Active NPI
Liberty Wheels, LLC
- Durable Medical Equipment & Medical Supplies
- Philadelphia, PA
National Provider Identifier
1083859524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 84639725
- Legal business name
- LIBERTY WHEELS, LLC
- Doing business as
- N/A
- Practice address
- 112 N 8TH St Ste 206
Philadelphia, PA 19107-2476 - Phone
- (215) 634-2000
- NPI assigned
- Dec 12, 2008
- Organization subpart
- Yes
- Parent organization
- LIBERTY RESOURCES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dan Hart
- Title
- Coo
- Phone
- (215) 634-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 84639725 | PA | Primary |
Addresses
Primary practice location
112 N 8TH St Ste 206
Philadelphia, PA 19107-2476
Mailing address
112 N 8TH St Ste 206
Philadelphia, PA 19107-2476
Phone (267) 765-1530
Other names 1
- N/A
National Provider Directory
National Provider DirectoryLocations
714 Market St
Ste 101
Philadelphia, PA 19106
Phone (215) 634-2000
112 N 8th St
Ste 206
Philadelphia, PA 19107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783382400000",
"number": "1083859524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 N 8TH ST STE 206",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191072476",
"telephone_number": "267-765-1530",
"fax_number": "215-627-2481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N 8TH ST STE 206",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191072476",
"telephone_number": "215-634-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY WHEELS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIBERTY RESOURCES, INC.",
"enumeration_date": "2008-12-12",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A",
"authorized_official_last_name": "HART",
"authorized_official_first_name": "DAN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "215-634-2000"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": "84639725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "N/A",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.