Active NPI
Julia Lebert
- Physical Therapist
- Ishpeming, MI
National Provider Identifier
1356986673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501019316
- Practice address
- 820 Carp River LN Ste 2
Ishpeming, MI 49849-3187 - Phone
- (906) 204-7400
- Fax
- (906) 204-7402
- NPI assigned
- Nov 11, 2019
- 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 | 5501019316 | MI | Primary |
Addresses
Primary practice location
820 Carp River LN Ste 2
Ishpeming, MI 49849-3187
Mailing address
820 Carp River LN Ste 2
Ishpeming, MI 49849-3187
Phone (906) 204-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501019316 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1356986673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 CARP RIVER LN STE 2",
"city": "ISHPEMING",
"state": "MI",
"postal_code": "498493187",
"telephone_number": "906-204-7400",
"fax_number": "906-204-7402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 CARP RIVER LN STE 2",
"city": "ISHPEMING",
"state": "MI",
"postal_code": "498493187",
"telephone_number": "906-204-7400",
"fax_number": "906-204-7402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBERT",
"first_name": "JULIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-11",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501019316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ishpeming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.