Robert Walter Livezey, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27855 Issued in MD

Practice address

136 S Philadelphia Blvd Ste C
Aberdeen, MD 21001-3203

Phone

(443) 512-8337

NPI assigned

Feb 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Physical Therapy and Fitness Centers LLCGroup PAC ID 3870864648, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Innovative Physical Therapy and Fitness Centers LLC

  dba Innovative Healthcare Centers

  • Multi-Specialty Clinic/Center
  • Abingdon, MD
  • NPI 1710411558
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1841822632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WALTER WARD BLVD STE 200",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091285",
            "telephone_number": "443-512-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S PHILADELPHIA BLVD STE C",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210013203",
            "telephone_number": "443-512-8337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 W MacPhail Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210144474",
            "country_code": "US",
            "telephone_number": "410-399-9590",
            "fax_number": "410-399-9591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVEZEY",
        "first_name": "ROBERT",
        "middle_name": "WALTER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-10",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifetime Dental Care of Maryland, Badger, P.C. (Aberdeen Dental Care)
• Belinda Lincoln-Lee, CRNP
• Sparkle Renee Lindblad
• Colleen Little
• Live to 100, LLC.
• Living Angel Health Care LLC
• Joseph K Llanos, M.D.
• Loyalty Home Care
• Loyalty Rehab Services, LLC
• Liza M Maciorowski

• Physical Therapist in Aberdeen, MD
• Providers in Aberdeen, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.