Active NPI
Jessica M. Liberty, DPT
- Physical Therapist
- Issaquah, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61577951
- Practice address
- 510 8TH Ave NE Ste 340
Issaquah, WA 98029-5449 - Phone
- (425) 313-3055
- Fax
- (425) 313-3051
- NPI assigned
- Jan 25, 2013
- Sex
- Female
- Sole proprietor
- No
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 | PT61577951 | MA | Primary |
Addresses
Primary practice location
510 8TH Ave NE Ste 340
Issaquah, WA 98029-5449
Mailing address
510 8TH Ave NE Ste 320
Issaquah, WA 98029-5436
Phone (425) 313-3055
Other practice location 1
1200 112th Ave NE Ste C260
Bellevue, WA 98004-3746
Phone (425) 313-3055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, AK, WA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
510 8TH Ave NE
Suite 340
Issaquah, WA 98029-5449
Phone (425) 313-3055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT61577951 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons, Inc., P.S. | Physical Therapist | Current | Accepting new patients |
| Proex Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Proex Physical Therapy, LLC | Current | Accepting new patients | |
| Bay State Physical Therapy of Randolph Inc | Physical Therapist | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Advanced Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Pioneer Peak Orthopedics LLC | Past | Accepting new patients |
Locations
1917 Abbott Rd
Ste 200
Anchorage, AK 99507
Phone (907) 279-4266
44604 Sterling Hwy
Ste A
Soldotna, AK 99669
Phone (907) 420-0640
607 Boylston St
Fl 4
Boston, MA 02116
Phone (857) 240-0909
10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999
703 Granite St
Ste 3
Braintree, MA 02184
1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525
284 Monponsett St
Ste 102
Halifax, MA 02338
Phone (781) 293-2525
1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339
1 Credit Union Way
Fl 3
Randolph, MA 02368
Phone 7819613370225
425 Waverly Oaks Rd
Waltham, MA 02452
Phone (781) 373-3620
300 Tradecenter
Ste 1650
Woburn, MA 01801
Phone (781) 925-7643
576 Broadhollow Rd
Melville, NY 11747
1200 112th Ave NE
Ste C260
Bellevue, WA 98004
Phone (425) 313-3055
510 8th Ave NE
Ste 320
Issaquah, WA 98029
510 8th Ave NE
Ste 340
Issaquah, WA 98029
Phone (425) 313-3051
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 8
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.
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Physical Therapist
- Anchorage, AK
- NPI 1437214459
-
- Physical Therapist
- Fall River, MA
- NPI 1164474334
-
- Physical Therapist
- Woburn, MA
- NPI 1831190453
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Physical Therapist
- Bellevue, WA
- NPI 1831138783
-
- Occupational Therapist
- Boston, MA
- NPI 1508757956
-
- Orthopaedic Surgery Physician
- Wasilla, AK
- NPI 1548639727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1356689335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 8TH AVE NE STE 320",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980295436",
"telephone_number": "425-313-3055",
"fax_number": "425-313-3051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 8TH AVE NE STE 340",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980295449",
"telephone_number": "425-313-3055",
"fax_number": "425-313-3051"
}
],
"practiceLocations": [
{
"address_1": "1200 112th Ave NE Ste C260",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980043746",
"country_code": "US",
"telephone_number": "425-313-3055",
"fax_number": "425-313-3051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIBERTY",
"first_name": "JESSICA",
"middle_name": "M.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-25",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "PT61577951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.