Active NPI
Mary Libutti, PT, MS, PCS
- Pediatric Physical Therapist
- Rye, NY
National Provider Identifier
1205169737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 011367
- Practice address
- 150 Purchase St Ste 9
Rye, NY 10580-2143 - Phone
- (914) 921-2600
- NPI assigned
- Sep 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 011367 | NY | Primary |
Addresses
Primary practice location
150 Purchase St Ste 9
Rye, NY 10580-2143
Mailing address
150 Purchase St Ste 9
Rye, NY 10580-2143
Phone (914) 921-2600
Other practice location 1
6208 Montrose Rd
Rockville, MD 20852-4119
Phone (301) 468-9343
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rye Therapies of OT, PT & SLP, PLLC | Current | Accepting new patients |
Locations
150 Purchase St
Ste 9
Rye, NY 10580
Phone (914) 921-0333
Organizations & group practices 1
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.
-
- Occupational Therapist
- Rye, NY
- NPI 1598281735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1205169737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 PURCHASE ST STE 9",
"city": "RYE",
"state": "NY",
"postal_code": "105802143",
"telephone_number": "914-921-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 PURCHASE ST STE 9",
"city": "RYE",
"state": "NY",
"postal_code": "105802143",
"telephone_number": "914-921-2600"
}
],
"practiceLocations": [
{
"address_1": "6208 Montrose Rd",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208524119",
"country_code": "US",
"telephone_number": "301-468-9343",
"fax_number": "301-230-2127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIBUTTI",
"first_name": "MARY",
"credential": "PT, MS, PCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "011367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rye, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.