Liberty Rehabilitation PSC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

001533 Issued in KY

Legal business name

LIBERTY REHABILITATION PSC

Practice address

100 YMCA Dr
Suite 5
Madisonville, KY 42431-9000

Phone

(270) 824-9227

Fax

(270) 824-9206

NPI assigned

Oct 11, 2006

Last updated

May 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Forrest L. Waide, P. T.

Title

President

Phone

(270) 824-9227

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336867200000",
    "number": "1629167663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 YMCA DR",
            "address_2": "SUITE 5",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319000",
            "telephone_number": "270-824-9227",
            "fax_number": "270-824-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 YMCA DR",
            "address_2": "SUITE 5",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319000",
            "telephone_number": "270-824-9227",
            "fax_number": "270-824-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY REHABILITATION PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-05-13",
        "status": "A",
        "authorized_official_last_name": "WAIDE",
        "authorized_official_first_name": "FORREST",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-824-9227",
        "authorized_official_credential": "P. T."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "001533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn W. Leigh, M. D.
• Laura Lenczowski
• Nathan P. Lesueur, DPM
• Abigail J Lewis
• Liberty Rehabilitation PSC
• Wayne E Lipson, MD
• Listen Hear LLC (Miracle Ear)
• Randy Littlepage, D.M.D.
• William A Logan, MD
• Margaret Logsdon

• Durable Medical Equipment & Medical Supplies in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2012; 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.