Alexander Lebiak III, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT026715 Issued in PA

Practice address

4805 Birney Ave
Moosic, PA 18507-1231

Phone

(570) 774-4200

Fax

(570) 589-2196

NPI assigned

Jun 30, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Spine and Sports Physical Therapy LPGroup PAC ID 0840664918, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elite Spine and Sports Physical Therapy LP

  • Physical Therapist
  • Wilkes Barre, PA
  • NPI 1932810819
  Medicare reassignment Care Compare group NPD
• Derek Enterprises LLC

  • Physical Therapist
  • W Hazleton, PA
  • NPI 1659457158
  Medicare reassignment NPD
• Elite Spine and Sports Physical Therapy

  • Physical Therapist
  • Wilkes Barre, PA
  • NPI 1134468598
  NPD (past)

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

{
    "created_epoch": "1530316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1750876850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 HIGHWAY 315 BLVD",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187027012",
            "telephone_number": "570-823-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 BIRNEY AVE",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071231",
            "telephone_number": "570-774-4200",
            "fax_number": "570-589-2196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1086 Highway 315 Blvd",
            "address_purpose": "LOCATION",
            "city": "Plains",
            "state": "PA",
            "postal_code": "187027012",
            "country_code": "US",
            "telephone_number": "570-823-7761 x26",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBIAK",
        "first_name": "ALEXANDER",
        "name_suffix": "III",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-30",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026715",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "PT026715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daryl Krouse, PA-C
• Anne L. Krupa, LCSW
• Tomislav Kucuk, CRNP
• John Girard Kuna, PSY.D.
• Jeannette Lasher, PA-C
• Andrew Lenway
• Devante Littlejohn
• Lotus Therapeutic & Empowerment Services
• Mark Lyons, DO
• Mary Ellen Lyons, PA

• Physical Medicine & Rehabilitation Physician in Moosic, PA
• Providers in Moosic, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.