Leah Marie Tibus
Individual provider Active NPI Physical Therapist · Wilkes Barre, PA
NPI 1811312903 · NPPES record last updated Apr 23, 2025
Key facts
- NPI
- 1811312903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT023389 (PA)
- Practice address
- 40 W Northampton St
Wilkes Barre, PA 18701-1775 - Phone
- (570) 208-0466
- NPI assigned
- Feb 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160629000293 | PA | Practitioner - Physical Therapist in Private Practice | 2365733904 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT023389 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyoming Valley Childrens Association | Physical Therapist | Current |
Accepting new patients |
Locations
1133 Wyoming Ave
Kingston, PA 18704
Phone (570) 714-1246
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT023389 | PA | Yes |
Addresses
Primary practice location
40 W Northampton St
Wilkes Barre, PA 18701-1775
Mailing address
10 Hart PL
Carbondale, PA 18407-1593
Phone (570) 267-3959
Other practice location 1
1133 Wyoming Ave
Kingston, PA 18704-4003
Phone (570) 714-1246
Other providers in Wilkes Barre, PA
- Samantha Leigh Thorne
- Dahlia Thorpe
- Tyler M Thress
- Thrift Drug Inc
- Jennifer Throop
- Paul Francis Tierney III
- Erin Kathleen Tiffany
- Donna Marie Tigue
- Karen Anne Tillotson
- Jessica Lynn Timek
All providers in Wilkes Barre, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.