Sally Troy Lieb, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P20379 Issued in NC

Practice address

2826 Randolph Rd FL 2
Charlotte, NC 28211-1359

Phone

(704) 366-5521

NPI assigned

Dec 18, 2008

Sex

Female

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 NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Charlotte, NC
  • NPI 1669432175
  Medicare reassignment NPD

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1912143199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 RANDOLPH RD FL 2",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111359",
            "telephone_number": "704-366-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 RANDOLPH RD FL 2",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111359",
            "telephone_number": "704-366-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEB",
        "first_name": "SALLY",
        "middle_name": "TROY",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Hanson Lichtner, RD
• Shanta Liddell, NURSE AIDE
• Keisha Latrice Lide, NP-C
• Lauren Elizabeth Lide, RBT
• Mausumi Lidogoster, M.D.
• Lieberman Home Health (Comfort Keepers)
• Lieberman Home Health (Comfort Keepers)
• Brendalynn Ijeoma-Ibe Lieberman, NP
• Eliza Lezin Lieberman, LCMHCA
• Jesse Lieberman, MD

• Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.