Ethan John Liebler, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22696 Issued in NY

Practice address

600 Northern Blvd
117
Great Neck, NY 11021-5200

Phone

(516) 478-0014

Fax

(516) 487-3989

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Ats Rehab OT & PT & SLP PLLC

  • Occupational Therapist
  • Long Beach, NY
  • NPI 1841711454

  Physical Therapist

  Medicare reassignment NPD
• Fit to Function Occupational Therapy Services PLLC

  • Occupational Therapist
  • Hicksville, NY
  • NPI 1245753508
  Medicare reassignment NPD
• My Medical PC

  • Family Medicine Physician
  • Valley Cottage, NY
  • NPI 1518637891
  Medicare reassignment NPD
• Peyman Younesi MD PLLC

  • Internal Medicine Physician
  • Fresh Meadows, NY
  • NPI 1891053328
  Medicare reassignment
• L.I. Care Physical Therapy and Occupational Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Huntington, NY
  • NPI 1184226128

  Physical Therapist

  NPD (past)
• Lake Shore Physical Therapy, P.C.

  • Physical Therapist
  • Ronkonkoma, NY
  • NPI 1871951996
  NPD (past)
• Neurological Surgery Practice of Long Island PLLC

  • Neurological Surgery Physician
  • Rockville Centre, NY
  • NPI 1265529424
  NPD (past)
• NSPC Plastics

  • Plastic Surgery Physician
  • Rockville Centre, NY
  • NPI 1487192233
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770677809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 HEMLOCK DR",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352929",
            "telephone_number": "516-852-5429",
            "fax_number": "516-293-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD",
            "address_2": "117",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215200",
            "telephone_number": "516-478-0014",
            "fax_number": "516-487-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBLER",
        "first_name": "ETHAN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "22696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Li, PHARM D
• Kun Li
• Julie Liberman, DDS
• Margery J Libin, LCSW
• H. David Lieberman, MD
• Bertram Sidney Liebross, MD
• Thelma Ruth Liebross, DDS
• Lifeguard Medical PLLC
• Julie Michele Liff, PT, DPT
• David Matthew Light, M.D.

• Physical Therapist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Physical Therapist in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.