Individual provider Active NPI

Haley Elizabeth Libs

  • Occupational Therapist
  • Cincinnati, OH
National Provider Identifier
1275266181
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT012077 Issued in OH
Practice address
4916 N Bend Rd
Cincinnati, OH 45211-2360
Phone
(513) 693-1885
NPI assigned
Jul 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT012077 OH Primary

Addresses

Primary practice location

4916 N Bend Rd
Cincinnati, OH 45211-2360

Mailing address

7521 Devonshire Dr
Alexandria, KY 41001-1485
Phone (502) 376-0938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230829002411 OH Practitioner - Occupational Therapist in Private Practice 2961865696 Reassigns benefits to 1 organization
I20240905001342 IN Practitioner - Occupational Therapist in Private Practice 2961865696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Ohio State University College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Wellness Team LLCGroup PAC ID 5890142145, 41 clinicians

Practice addresses (Care Compare)

6311 W 900
My 360 Wellness
McCordsville, IN 46055-5524
Phone (866) 360-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT012077OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Illinois, LLC Multi-Specialty CurrentSince Aug 15, 2023 Accepting new patients
My Wellness Team LLC Multi-Specialty CurrentSince Nov 1, 2023 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Multi-Specialty CurrentSince Aug 15, 2023 Accepting new patients

Locations

4411 Park Place Dr
Fort Wayne, IN 46845
Phone (260) 205-8451

911 E 86th St
Ste 103
Indianapolis, IN 46240
Phone (812) 267-2841

6311 W 900 N
#360
McCordsville, IN 46055

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1275266181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 DEVONSHIRE DR",
            "city": "ALEXANDRIA",
            "state": "KY",
            "postal_code": "410011485",
            "telephone_number": "502-376-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4916 N BEND RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452112360",
            "telephone_number": "513-693-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBS",
        "first_name": "HALEY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT012077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.