Active NPI
Lybh Corp
- Occupational Therapist
- Edwardsville, PA
National Provider Identifier
1215800396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Levi Yitzchok Wolff
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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 Corp
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Speech-Language Pathologist
- Edwardsville, PA
- NPI 1265305288
-
- Professional Counselor
- Kingston, PA
- NPI 1598425993
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.