Individual provider Active NPI

Margaret Bracco Liebreich, P.T.

  • Physical Therapist
  • Oak Park, IL
National Provider Identifier
1144236985
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
531 S Ridgeland Ave
Oak Park, IL 60304-1429
Phone
(708) 848-3539
Fax
(708) 383-3618
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

531 S Ridgeland Ave
Oak Park, IL 60304-1429

Mailing address

531 S Ridgeland Ave
Oak Park, IL 60304-1429
Phone (708) 848-3539

Other identifiers 2

IdentifierTypeStateIssuer
7593565OtherILAETNA PROVIDER NUMBER
1633392OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Meg Bracco Liebreich Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
070-004337ILMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144236985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 S RIDGELAND AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041429",
            "telephone_number": "708-848-3539",
            "fax_number": "708-383-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 S RIDGELAND AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041429",
            "telephone_number": "708-848-3539",
            "fax_number": "708-383-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBREICH",
        "first_name": "MARGARET",
        "middle_name": "BRACCO",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7593565",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1633392",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEG",
            "last_name": "LIEBREICH",
            "middle_name": "BRACCO",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.