Ursula Liebelt

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6256 Issued in CA

Practice address

600 Sand Hill Rd
Palo Alto, CA 94304-2630

Phone

(650) 853-5028

NPI assigned

Aug 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ursula Fraas Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sand Coast Rehab Physical Therapy IncGroup PAC ID 7315352911, 131 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sand Coast Rehab Physical Therapy Inc

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1639766603

  CA, Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Rehab Alliance

  • Physical Therapist
  • Laguna Hills, CA
  • NPI 1316987126
  NPD (past)

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1295216489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 HEATHER LN",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033305",
            "telephone_number": "650-576-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SAND HILL RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943042630",
            "telephone_number": "650-853-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBELT",
        "first_name": "URSULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "6256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "URSULA",
            "last_name": "FRAAS",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Y.J. Liang, L.AC.
• Christina Yi-Tin Liao, MD
• James Liao, D.O.
• Tiffany Yaolin Liao, DMD
• Victoria M. Liban, LCSW
• David Marcus Lieberman, M.D.
• Brandon Lieu, MD
• John Lieu, M.D.
• Tonatiuh Miguel Lievano Beltran
• Lifemoves - Opportunity Services Center

• Occupational Therapist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.