Individual provider Active NPI

Christopher S Lybarger, PT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1093963621
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8198 Issued in AZ
Practice address
7960 E Thompson Peak Pkwy
Suite 101
Scottsdale, AZ 85255-7406
Phone
(480) 585-6810
Fax
(480) 585-6910
NPI assigned
Sep 8, 2008
Last updated
Jan 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 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 8198 AZ Primary

Addresses

Primary practice location

7960 E Thompson Peak Pkwy
Suite 101
Scottsdale, AZ 85255-7406

Mailing address

2005 Route 70 E
Suite 101
Cherry Hill, NJ 08003-1279
Phone (480) 585-6810

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141222000214 NJ Practitioner - Physical Therapist in Private Practice 0840358180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

2005 Route 70 E
Cherry Hill, NJ 08003-1279
Phone (856) 424-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8198AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Oct 21, 2021 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Oct 21, 2021 Accepting new patients
Endurance Rehabilitation LLC Physical Therapist Past Accepting new patients
Endurance Rehabilitation LLC Physical Therapist Past Accepting new patients
Wellness Advantage Inc Past Accepting new patients

Locations

2005 Route 70 E
Cherry Hill, NJ 08003
Phone (609) 714-7733

2005 Route 70 E
Ste 101
Cherry Hill, NJ 08003

2605 Route 130 S
Ste 1
Cinnaminson, NJ 08077
Phone (856) 288-7230

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

320 N Haddon Ave
Haddonfield, NJ 08033
Phone (856) 616-8000

201 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 582-3400

200 Bowman Dr
Ste E104
Voorhees, NJ 08043
Phone (856) 282-0337

Organizations & group practices 5

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": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1093963621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 ROUTE 70 E",
            "address_2": "SUITE 101",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031279",
            "telephone_number": "480-585-6810",
            "fax_number": "480-585-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 E THOMPSON PEAK PKWY",
            "address_2": "SUITE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557406",
            "telephone_number": "480-585-6810",
            "fax_number": "480-585-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYBARGER",
        "first_name": "CHRISTOPHER",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.