Libbie Ann Lee, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9274 Issued in AZ

Practice address

405 W. Main St.
Suite D
Payson, AZ 85541

Phone

(928) 474-0429

Fax

(928) 474-0199

NPI assigned

Feb 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Libbie Ann Mangum Professional name

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hamilton Physical Therapy PCGroup PAC ID 7113902321, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hamilton Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Hamilton, MT
  • NPI 1023057064

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Buena Vida Physical Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Las Vegas, NM
  • NPI 1982863999
  NPD (past)
• Corvallis Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Corvallis, MT
  • NPI 1891080529

  Physical Therapist

  NPD (past)
• Frenchtown Physical Therapy Inc

  • Physical Medicine & Rehabilitation Physician
  • Frenchtown, MT
  • NPI 1427126341
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1144356130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W MAIN ST.",
            "address_2": "SUITE D",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855413549",
            "telephone_number": "928-474-0429",
            "fax_number": "928-474-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W. MAIN ST.",
            "address_2": "SUITE D",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "85541",
            "telephone_number": "928-474-0429",
            "fax_number": "928-474-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LIBBIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "852420",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIBBIE",
            "last_name": "MANGUM",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Spencer Kirsteatter, DPT
• Kristin M Wade DMD PLLC
• Gilles Lachance, MD
• Lee a Woods LCSW PC
• Judith Kay Lee, LCSW, LIMHP
• Betty Ann Liebzeit, RN
• Lifestar LLC
• Lincare Inc.
• Lone Wolf Medicine, Inc
• Long Term Strategies

• Physical Therapist in Payson, AZ
• Providers in Payson, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.