Joseph Victor Libera, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1617 Issued in NC

Practice address

209 S Williamson Ave
Elon, NC 27244-9252

Phone

(336) 684-0500

Fax

(336) 584-0189

NPI assigned

May 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Joseph Libera Physical Therapy

  • Community/Behavioral Health Agency
  • Elon, NC
  • NPI 1962087148
  NPD (past) Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194932871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S WILLIAMSON AVE",
            "city": "ELON",
            "state": "NC",
            "postal_code": "272449252",
            "telephone_number": "336-684-0500",
            "fax_number": "336-584-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S WILLIAMSON AVE",
            "city": "ELON",
            "state": "NC",
            "postal_code": "272449252",
            "telephone_number": "336-684-0500",
            "fax_number": "336-584-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERA",
        "first_name": "JOSEPH",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "1617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Lawrance, ATC
• Thao Phuong Le, DO
• Maya Leemaster
• Eric Jensen Lengas, ATC
• George R Lentz Sr., ED.D.
• Andrew J Lukjanczuk, ATC
• Shailesh Manandhar, M.D.
• Maria McCain
• Jodi McConnell, ATC
• Michael Richard McCormack

• Physical Therapist in Elon, NC
• Providers in Elon, NC by specialty
• Physical Therapist in North Carolina

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.