Organization Active NPI

Lybh Corp

  • Occupational Therapist
  • Edwardsville, PA
National Provider Identifier
1215800396
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
LYBH CORP
Practice address
413 Main St
Edwardsville, PA 18704-3231
Phone
(570) 763-9177
NPI assigned
Sep 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Levi Yitzchok WolffNPI 1487236485
Title
President
Phone
(570) 763-9177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

413 Main St
Edwardsville, PA 18704-3231

Mailing address

630 Meadowland Ave
Kingston, PA 18704-5317

National Provider Directory

National Provider Directory
Tax ID family
Lybh Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1215800396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 MEADOWLAND AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 MAIN ST",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187043231",
            "telephone_number": "570-763-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYBH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "LEVI",
        "authorized_official_middle_name": "YITZCHOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-763-9177"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.