Andrea Libby, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2051078 Issued in TX

Practice address

2908 E Trinity Mills Rd
Carrollton, TX 75006-2318

Phone

(972) 417-9999

Fax

(972) 417-9906

NPI assigned

Mar 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518099381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 MORRIS AVE",
            "address_2": "APT 1341",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016607",
            "telephone_number": "214-517-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 E TRINITY MILLS RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062318",
            "telephone_number": "972-417-9999",
            "fax_number": "972-417-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "ANDREA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2051078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Jessada Lertdilok, FNP-C
• Michael Jeremy Leslie, BCABA
• Marygrace C Leveille, NP
• Taylor Lewis
• Mindy Li, DDS
• Life Restore MD
• Life Savers Preventative Health Screenings, LLC
• Life-Like Laboratory LLC (Life-Like Laboratory)
• Lifecare 2.1, LLC (Lifecare Hospitals of North Texas)
• Lifeline Home Health LLC

• Physical Therapy Assistant in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.