Active NPI
Susan Liebross, O.T.
- Pediatric Occupational Therapist
- Frenchtown, NJ
National Provider Identifier
1811243439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 46TR00038000
- Practice address
- 20 Bridge St
Frenchtown, NJ 08825-1227 - Phone
- (908) 581-6257
- NPI assigned
- Aug 1, 2012
- Last updated
- Oct 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00038000 | NJ | |
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | 46TR00038000 | NJ | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 46TR00038000 | NJ | |
| Pediatric Occupational Therapist | 225XP0200X | 46TR00038000 | NJ | Primary |
Addresses
Primary practice location
20 Bridge St
Frenchtown, NJ 08825-1227
Mailing address
1170 County Road 519
Frenchtown, NJ 08825-4151
Phone (908) 581-6257
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00038000 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan Liebross, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
20 Bridge St
Frenchtown, NJ 08825
Phone (908) 581-6257
Organizations & group practices 1
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.
-
- Occupational Therapist
- Frenchtown, NJ
- NPI 1669270021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1811243439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 COUNTY ROAD 519",
"city": "FRENCHTOWN",
"state": "NJ",
"postal_code": "088254151",
"telephone_number": "908-581-6257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 BRIDGE ST",
"city": "FRENCHTOWN",
"state": "NJ",
"postal_code": "088251227",
"telephone_number": "908-581-6257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBROSS",
"first_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-01",
"last_updated": "2024-10-23",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00038000",
"primary": false
},
{
"code": "225XF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": "NJ",
"license": "46TR00038000",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "NJ",
"license": "46TR00038000",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NJ",
"license": "46TR00038000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frenchtown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.