Individual provider Active NPI

Cassidy Lieber

  • Physical Therapist
  • Crown Point, IN
National Provider Identifier
1316777972
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05015658A Issued in IN
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20240910004392 IN Practitioner - Physical Therapist in Private Practice 8325588858 Reassigns benefits to 1 organization

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
Orthopedic Therapy Specialists, PCGroup PAC ID 8224020748, 13 clinicians

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

OrganizationSpecialtyStatusNew patients
Orthopedic Therapy Specialists, PC CurrentSince Aug 20, 2024 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.

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.

Verify at the official NPI Registry.