Gregory Rhett Libero, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19871 Issued in FL

Practice address

1017 10TH CT
Palm Beach Gardens, FL 33410-5110

Phone

(561) 630-5094

NPI assigned

Jul 16, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spinal Health Performance, Inc.

  • Physical Therapist
  • West Palm Beach, FL
  • NPI 1245414812
  Medicare reassignment NPD

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528085495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 10TH CT",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105110",
            "telephone_number": "561-630-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 10TH CT",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105110",
            "telephone_number": "561-630-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERO",
        "first_name": "GREGORY",
        "middle_name": "RHETT",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "19871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Lewis, PHARMD, RPH
• Lydona Lewis
• Tristin Lewis, PHARMD
• Abigail Elaine Ley, MD
• Yailuma Leyva
• Liberty of West Palm Beach
• Chelsea Ruby Licea
• David Alan Lickstein, M.D.
• Life Matters, Incorporated
• Lifeful Aging, LLC

• Physical Therapist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Physical Therapist in Florida

• 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.
• 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.