Active NPI
Cassidy Lieber
- Physical Therapist
- Crown Point, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05015658A
- Practice address
- 11055 Broadway Ste E
Crown Point, IN 46307-7300 - Phone
- (219) 310-8278
- Fax
- (219) 310-8351
- NPI assigned
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05015658A | IN | Primary |
Addresses
Primary practice location
11055 Broadway Ste E
Crown Point, IN 46307-7300
Mailing address
PO Box 416501
Boston, MA 02241-6501
Phone (914) 294-4050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11055 Broadway
Suite E
Crown Point, IN 46307-7300
Phone (219) 310-8278
1405 E Lincolnway
Suite B
La Porte, IN 46350-8024
Phone (219) 380-0809
1575 S Calumet Rd
Unit 1
Chesterton, IN 46304-3301
Phone (219) 548-8770
2144 45TH St
Highland, IN 46322-3742
Phone (219) 301-7961
3125 Calumet Ave
Valparaiso, IN 46383-2070
Phone (219) 548-8770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Therapy Specialists, PC | Current | Accepting new patients |
Locations
11055 Broadway
Ste E
Crown Point, IN 46307
Phone (219) 306-4050
3125 Calumet Ave
Ste 8
Valparaiso, IN 46383
Phone (219) 464-9800
Organizations & group practices 1
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.
-
- Clinic/Center
- Valparaiso, IN
- NPI 1861418022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1316777972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416501",
"city": "BOSTON",
"state": "MA",
"postal_code": "022416501",
"telephone_number": "914-294-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11055 BROADWAY STE E",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077300",
"telephone_number": "219-310-8278",
"fax_number": "219-310-8351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBER",
"first_name": "CASSIDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-07",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05015658A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.