Individual provider Active NPI

Abraham Issac Lieberman, PT, DPT, FAAOMPT

  • Physical Therapist
  • Bellaire, TX
National Provider Identifier
1841522836
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1192943 Issued in TX
Practice address
6708 Ferris St
Bellaire, TX 77401-3919
Phone
(832) 588-3552
Fax
(281) 402-3077
NPI assigned
Feb 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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 1192943 TX Primary

Addresses

Primary practice location

6708 Ferris St
Bellaire, TX 77401-3919

Mailing address

PO Box 141
Bellaire, TX 77402-0141
Phone (832) 588-3552

Other practice location 1

4543 Post Oak Place Dr Ste 124
Houston, TX 77027-3103
Phone (832) 588-3552

Other identifiers 1

IdentifierTypeStateIssuer
353722701MedicaidTX

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Connections PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1841522836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774020141",
            "telephone_number": "832-588-3552",
            "fax_number": "281-402-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6708 FERRIS ST",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013919",
            "telephone_number": "832-588-3552",
            "fax_number": "281-402-3077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4543 Post Oak Place Dr Ste 124",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770273103",
            "country_code": "US",
            "telephone_number": "832-588-3552",
            "fax_number": "281-402-3077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "ABRAHAM",
        "middle_name": "ISSAC",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, FAAOMPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-02",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1192943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353722701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.