Liberty Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LIBERTY PHYSICAL THERAPY

Practice address

872 Smithfield Ave
Lincoln, RI 02865

Phone

(401) 722-0012

Fax

(401) 722-0056

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark E Wurster, MSPT

Title

VP Treasurer

Phone

(401) 722-0012

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Richard A Rabito Jr., MSPT

  • Physical Therapist
  • Lincoln, RI
  • NPI 1467560219
  NPD (past)
• Elke Schaumberg, M.S.P.T.

  • Physical Therapist
  • Lincoln, RI
  • NPI 1144409251
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1306851282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 SMITHFIELD AVE",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "02865",
            "telephone_number": "401-722-0012",
            "fax_number": "401-722-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 SMITHFIELD AVE",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "02865",
            "telephone_number": "401-722-0012",
            "fax_number": "401-722-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "WURSTER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VP TREASURER",
        "authorized_official_telephone_number": "401-722-0012",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHP",
            "identifier": "6400365",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence S. Cohen, O.D., LLC
• Toussaint Andre Leclercq, MD
• Martha Rose Leonard, MSN, CPNP
• Cameron Levine
• Christina Onassis Lewis, MSN, APRN, FNP-C
• Alfred Henry Liddle, PA
• Fatim Liguer-Laubhouet
• Lime Rock Medical Inc.
• Lincoln Dental Care LLC
• Lincoln Pediatric Assoc Inc

• Physical Therapist in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.