Liesl B Iaeger, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11775PT Issued in AZ

Practice address

201 W Guadalupe Rd Ste 313
Gilbert, AZ 85233-3334

Phone

(480) 892-0808

Fax

(480) 890-6045

NPI assigned

Aug 20, 2015

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

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation LLCGroup PAC ID 2769723162, 423 clinicians

Practice addresses (Care Compare)

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.

• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1144954074

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Williamsburg, VA
  • NPI 1881366730

  Physical Therapist

  NPD

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548636806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W GUADALUPE RD SUITE 313",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85233",
            "telephone_number": "480-892-0808",
            "fax_number": "480-892-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W GUADALUPE RD STE 313",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333334",
            "telephone_number": "480-892-0808",
            "fax_number": "480-890-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IAEGER",
        "first_name": "LIESL",
        "middle_name": "B",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11775PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tara Marie Iacono, RPA-C
• Catherine M Iacuzzi
• Chris Joseph Ibarra
• Khalid Ibrahim
• Icare Health Services LLC
• Icare Kidiatric Therapy LLC
• Ideal Dental Gilbert PLLC

• Physical Therapist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.