Individual provider Active NPI

Jennifer Lieber, PT, DPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1801550868
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004808 Issued in KY
Practice address
12613 Taylorsville Rd
Louisville, KY 40299-5496
Phone
(270) 234-1488
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004808 KY Primary

Addresses

Primary practice location

12613 Taylorsville Rd
Louisville, KY 40299-5496

Mailing address

1637 Stafford Ave
Louisville, KY 40216-2715

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other FOX REHABILITATION SERVICES KY LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211119002439 KY Practitioner - Physical Therapist in Private Practice 0446649016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services Ky LLCGroup PAC ID 2961840038, 39 clinicians

Practice addresses (Care Compare)

Louisville, KY 40272
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Ky LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Nov 1, 2021 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Nov 1, 2021 Accepting new patients
SN Kentuckiana Rehab, LLC Past Accepting new patients
SN Kentuckiana Rehab, LLC Past Accepting new patients

Locations

6003 Pleasant Colony Ct
Ste 3
Crestwood, KY 40014
Phone (502) 241-5597

2618 Ring Rd
Ste 110
Elizabethtown, KY 42701
Phone (270) 230-1729

1212 Market St
Lagrange, KY 40031
Phone (502) 225-9981

7926 Preston Hwy
Ste 101
Louisville, KY 40219
Phone (502) 298-5658

12613 Taylorsville Rd
Ste 118
Louisville, KY 40299
Phone (502) 267-1480

9451 Westport Rd
Ste B
Louisville, KY 40241
Phone (502) 261-1950

10631 Dixie Hwy
Louisville, KY 40272
Phone (502) 447-2750

12000 Aiken Rd
Louisville, KY 40243
Phone (502) 489-5002

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

2152 S Hurstbourne Pkwy
Louisville, KY 40220
Phone (502) 349-6961

9300 Stonestreet Rd
Ste 400
Louisville, KY 40272
Phone (502) 935-8061

1227 Goss Ave
Louisville, KY 40217
Phone (502) 636-1200

9368 Cedar Center Way
Louisville, KY 40291
Phone (502) 231-3979

3509 S Hurstbourne Pkwy
Louisville, KY 40299
Phone (502) 537-7070

6400 Dutchmans Pkwy
Ste 20
Louisville, KY 40205
Phone (502) 742-9392

4010 DuPont Cir
Ste L14
Louisville, KY 40207
Phone (502) 899-1911

4430 Crawford Ave
Louisville, KY 40258
Phone (502) 995-2705

3584 Springhurst Blvd
Louisville, KY 40241
Phone (502) 339-4700

2901 Bardstown Rd
Louisville, KY 40205
Phone (502) 459-6307

315 E Broadway
Ste 195
Louisville, KY 40202
Phone (502) 589-5961

9880 Angies Way
Ste 100
Lyndon, KY 40241
Phone (502) 209-0649

190 Shadowmeade Ln
Mt Washington, KY 40047
Phone (502) 538-2332

160 Frankfort Rd
Shelbyville, KY 40065
Phone (502) 257-8452

1868 W Hebron Ln
Ste 101
Shepherdsville, KY 40165
Phone (502) 955-7724

4420 Dixie Hwy
Ste 122
Shively, KY 40216
Phone (502) 447-2750

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1801550868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 STAFFORD AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402162715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12613 TAYLORSVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402995496",
            "telephone_number": "270-234-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBER",
        "first_name": "JENNIFER",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "FOX REHABILITATION SERVICES KY LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "9251 Stonestreet Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402722858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.