Individual provider Active NPI

Rebecca Lieberman, LMT

  • Massage Therapist
  • Palm Harbor, FL
National Provider Identifier
1932573078
Registry record updated Nov 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA34918 Issued in FL
Practice address
34921 US Highway 19 N # 150
Palm Harbor, FL 34684-1969
Phone
(561) 318-1115
NPI assigned
Nov 28, 2015
Last updated
Nov 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA34918 FL Primary

Addresses

Primary practice location

34921 US Highway 19 N # 150
Palm Harbor, FL 34684-1969

Mailing address

39650 US Highway 19 N Apt 736
Tarpon SPGS, FL 34689-3912
Phone (561) 318-1115

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA34918FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1448668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448668800000",
    "number": "1932573078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39650 US HIGHWAY 19 N APT 736",
            "city": "TARPON SPGS",
            "state": "FL",
            "postal_code": "346893912",
            "telephone_number": "561-318-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34921 US HIGHWAY 19 N # 150",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841969",
            "telephone_number": "561-318-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "REBECCA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-28",
        "last_updated": "2015-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA34918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.