Erik Libby, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001592 Issued in CT

Practice address

84 Glastonbury Blvd
Glastonbury, CT 06033

Phone

(860) 652-8883

Fax

(860) 652-8887

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Sports Specialists PCGroup PAC ID 0840254678, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Orthopaedic Sports Specialists, PC

  • Orthopaedic Surgery Physician
  • Glastonbury, CT
  • NPI 1851310031
  Medicare reassignment Care Compare group
• Orthopaedic Sports Specialists, PC

  • Durable Medical Equipment & Medical Supplies
  • Glastonbury, CT
  • NPI 1063531796
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1174629679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 GLASTONBURY BLVD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334468",
            "telephone_number": "860-652-8883",
            "fax_number": "860-652-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 GLASTONBURY BLVD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "06033",
            "telephone_number": "860-652-8883",
            "fax_number": "860-652-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "ERIK",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "001592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Alexis Leone, APRN
• Emily M Lessner, LCSW
• Level Zen LLC
• Wendy Levine, LPC
• Olga A Levkina, PA
• Sarah Diane Lichenstein
• Wendy Liebman, MA, LPC
• Life in Depth, LLC
• Life Worth Living Christian Counseling, PLLC
• Light Within Therapy PLLC

• Physician Assistant in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.