Individual provider Active NPI

Debra Liebowitz, PT,DPT

  • Physical Therapist
  • Oradell, NJ
National Provider Identifier
1629091970
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01179000 Issued in NJ
Practice address
222 Kinderkamack Rd
Oradell, NJ 07649-2259
Phone
(201) 225-2511
Fax
(201) 225-2568
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01179000 NJ Primary

Addresses

Primary practice location

222 Kinderkamack Rd
Oradell, NJ 07649-2259

Mailing address

222 Kinderkamack Rd
Oradell, NJ 07649-2259
Phone (201) 225-2511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051102001022 NJ Practitioner - Physical Therapist in Private Practice 3577581123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundations Physical Therapy, LLCGroup PAC ID 7214151042, 10 clinicians

Practice addresses (Care Compare)

285 Pascack Rd
Township of Washington, NJ 07676-4841
Phone (201) 358-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Physical Therapy,LLC Physical Therapist CurrentSince Jul 20, 2005 Accepting new patients
Foundations Physical Therapy, LLC CurrentSince Apr 27, 2023 Accepting new patients

Locations

222 Kinderkamack Rd
Oradell, NJ 07649
Phone (201) 225-2511

222 Kinderkamack Rd
Ste 103
Oradell, NJ 07649
Phone (201) 225-2511

285 Pascack Rd
Twp Washinton, NJ 07676
Phone (201) 358-9200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629091970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 KINDERKAMACK RD",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492259",
            "telephone_number": "201-225-2511",
            "fax_number": "201-225-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 KINDERKAMACK RD",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492259",
            "telephone_number": "201-225-2511",
            "fax_number": "201-225-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBOWITZ",
        "first_name": "DEBRA",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01179000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oradell, NJ

Sources for this page

  • 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.
  • 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.