Active NPI
Edward T Luberski Jr., PT
- Physical Therapist
- Bel Air, MD
National Provider Identifier
1710686191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20119
- Practice address
- 2205 Chequers CT
Bel Air, MD 21015-8903 - Phone
- (443) 910-1569
- NPI assigned
- Feb 24, 2023
- 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 | 20119 | MD | Primary |
Addresses
Primary practice location
2205 Chequers CT
Bel Air, MD 21015-8903
Mailing address
2205 Chequers CT
Bel Air, MD 21015-8903
Phone (443) 910-1569
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1710686191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 CHEQUERS CT",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210158903",
"telephone_number": "443-910-1569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 CHEQUERS CT",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210158903",
"telephone_number": "443-910-1569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBERSKI",
"first_name": "EDWARD",
"middle_name": "T",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-24",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "20119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.