Jason Lewis Liebler, MPT
Individual provider Active NPI Physical Therapist · Marlette, MI
NPI 1639185705 · NPPES record last updated Dec 26, 2024
Key facts
- NPI
- 1639185705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501011631 (MI)
- Practice address
- 3105 Main St
Marlette, MI 48453-1508 - Phone
- (989) 635-3660
- Fax
- (989) 635-3662
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Michigan Rehabilitation Specialists of Fowlerville LLC
Practice addresses (Care Compare)
3105 Main St
Marlette, MI 48453-1508
Phone (989) 635-3660
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.78 of 100
- Quality
- 89.5
- Improvement activities
- 40
- Cost
- 71.87
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140521000180 | MI | Practitioner - Physical Therapist in Private Practice | 4981827912 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501011631 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Rehabilitation Specialists of Fowlerville, LLC | Current |
Accepting new patients | |
| Michigan Rehabilitation Specialists of Fowlerville LLC | Physical Therapist | Current |
Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710
10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200
1429 Flushing Rd
#A
Flushing, MI 48433
Phone (810) 487-9128
425 N Park Blvd
Ste 100
Lake Orion, MI 48362
Phone (248) 693-6835
3105 Main St
Marlette, MI 48453
Phone (989) 635-3660
5832 N Lapeer Rd
Ste A
North Branch, MI 48461
Phone (810) 793-5282
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501011631 | MI | Yes |
Addresses
Primary practice location
3105 Main St
Marlette, MI 48453-1508
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Other providers in Marlette, MI
- Emily Howard
- Harold Randall Howard
- Michael Jon Kitto
- Elizabeth M Lefler
- Pamela L Lewis
- Madison Lossing
- Mason Leblanc Mallory
- Marlette Fam Dentistry PLLC
- Marlette Regional Hosital
- Marlette Regional Hospital
All providers in Marlette, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.