Kathleen Kubik Liszka, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011860L Issued in PA

Practice address

500 University Dr
Hershey, PA 17033-2360

Phone

(717) 531-8070

NPI assigned

Jan 28, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kathleen Carol Kubik Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1629374376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 DURYEA DR",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170366821",
            "telephone_number": "717-566-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "717-531-8070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3003 Elizabethtown Rd",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170339323",
            "country_code": "US",
            "telephone_number": "717-835-0700",
            "fax_number": "717-835-0702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LISZKA",
        "first_name": "KATHLEEN",
        "middle_name": "KUBIK",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT011860L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "KUBIK",
            "middle_name": "CAROL",
            "prefix": "MISS",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa B Linskey-Dougherty, M.D.
• Brody Joseph Lipsett, DO
• Ashley Lynn Lipshaw, DO, MPH
• Lisa Plotkin, LCSW, PC
• Edward G Liszka II, MD
• Megan Nicole Little, CRNP
• Joe Littlejohn Jr., MD
• Henry Liu, MD
• Ivy Cheng Liu
• Live Well Medicine, LLC

• Physical Therapist in Hershey, PA
• Providers in Hershey, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.