Lee B Staebler, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0102401 Issued in NY

Practice address

7555 Main Road
Mattituck, NY 11952-0206

Phone

(631) 298-8859

Fax

(631) 298-8119

NPI assigned

Jul 28, 2006

Last updated

Dec 5, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lee Staebler PT PC

  • Physical Therapist
  • Mattituck, NY
  • NPI 1922296938
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1780698241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "119520206",
            "telephone_number": "631-298-8859",
            "fax_number": "631-298-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 MAIN ROAD",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "119520206",
            "telephone_number": "631-298-8859",
            "fax_number": "631-298-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAEBLER",
        "first_name": "LEE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0102401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "88857",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01905426",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "QN6271",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Sheridan
• Barbara Ruth Sheryll
• Chris R Showalter, PT
• Valerie Silverman Harmon, NPP
• Sindee Gerstein Family Nurse Practitioner PLLC
• Ashton L Stanton, MD
• Stephanie Thode
• Elizabeth Ann Thompson, RN
• Nicole Torkelsen, PHARM.D.
• Marie Lisa Truglio, RN

• Physical Therapist in Mattituck, NY
• Providers in Mattituck, 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 Dec 5, 2007; 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.