Active NPI
Abraham Issac Lieberman, PT, DPT, FAAOMPT
- Physical Therapist
- Bellaire, TX
National Provider Identifier
1841522836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1192943
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 353722701 | Medicaid | TX |
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
| Organization | Specialty | Status | New 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.
-
- Speech-Language Pathologist
- Bellaire, TX
- NPI 1407951312
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.