North Nassau Physical Therapy and Rehabilitation ,PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4913 Issued in NY

Legal business name

NORTH NASSAU PHYSICAL THERAPY AND REHABILITATION ,PC

Practice address

63 Mineola Ave
Roslyn, NY 11576-2001

Phone

(516) 484-0515

Fax

(516) 625-4546

NPI assigned

Feb 26, 2009

Organization subpart

Yes

Parent organization

NORTH NASSAU PHYSICAL THERAPY AND REHABILITATION, PCAs reported in NPPES

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

Authorized official

Name

Mr. Paul Liebhaber, PHYSICAL THERAPISTNPI 1144383712

Title

Owner

Phone

(516) 484-0515

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Part of

North Nassau Physical Therapy and Rehabilitation PC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Liebhaber, P.T

  • Specialist
  • Roslyn, NY
  • NPI 1144383712
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1437399797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 MINEOLA AVE",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762001",
            "telephone_number": "516-484-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MINEOLA AVE",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762001",
            "telephone_number": "516-484-0515",
            "fax_number": "516-625-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH NASSAU PHYSICAL THERAPY AND REHABILITATION ,PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH NASSAU PHYSICAL THERAPY AND REHABILITATION, PC",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "LIEBHABER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-484-0515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "4913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID",
            "identifier": "Q52602",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ira Newman, DDS
• Jeremy Saul Nikfarjam, M.D.
• Nilsa S Gutierrez MD PLLC
• Lee Nissensohn, DDS
• April Noreiga
• North Shore Family Dental Care PLLC (Toothdocs)
• Rebecca Nourmand, OTR/L
• Michele Novak, M.D.
• Andrew Nugent, P.A.
• Lisa Nyffler, P.A.

• Physical Therapist in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.