Active NPI
Marshall M Lieber, M.P.T.
- Physical Therapist
- Hollywood, FL
National Provider Identifier
1629288972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 14830
- Practice address
- 1135 Chestnut LN
Hollywood, FL 33019-4883 - Phone
- (954) 927-5807
- Fax
- (954) 927-5807
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 14830 | FL | Primary |
Addresses
Primary practice location
1135 Chestnut LN
Hollywood, FL 33019-4883
Mailing address
1135 Chestnut LN
Hollywood, FL 33019-4883
Phone (954) 927-5807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629288972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 CHESTNUT LN",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330194883",
"telephone_number": "954-927-5807",
"fax_number": "954-927-5807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 CHESTNUT LN",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330194883",
"telephone_number": "954-927-5807",
"fax_number": "954-927-5807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBER",
"first_name": "MARSHALL",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "M.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 14830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.