Caren Rose Lieberman, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT14854 Issued in CA

Practice address

11573 Kelsey St
Studio City, CA 91604-3023

Phone

(818) 535-8661

NPI assigned

Jun 22, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Caren Light Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1871975284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11573 KELSEY ST",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043023",
            "telephone_number": "818-535-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11573 KELSEY ST",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043023",
            "telephone_number": "818-535-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "CAREN",
        "middle_name": "ROSE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAREN",
            "last_name": "LIGHT",
            "credential": "PHYSICAL THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carol Lewis, MFC 53526
• Marsha M. Lewis, M.F.T.
• Melissa M. Lewis, PH.D.
• Shirley Li, L.AC.
• Lia Pelvic Health Physical Therapy Inc
• Lifetime Home Health Care Services, Inc.
• Lifetime Hospice Care, Inc.
• Lighthouse Hospice and Palliative Care
• Artur Lipkin, D.D.S.
• Ruth Lipson, O.D.

• Physical Therapist in Studio City, CA
• Providers in Studio City, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.