Active NPI
Eileen D. Libbey
- Recreation Therapist
- Canoga Park, CA
National Provider Identifier
1952489916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 2961-T
- Practice address
- 7621 Canoga Ave
Canoga Park, CA 91304-4912 - Phone
- (818) 598-6900
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 2961-T | CA | Primary |
Addresses
Primary practice location
7621 Canoga Ave
Canoga Park, CA 91304-4912
Mailing address
3506 S Bentley Ave Apt 105
Los Angeles, CA 90034-6567
Phone (310) 204-2286
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2961-T | CA | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952489916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3506 S BENTLEY AVE APT 105",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900346567",
"telephone_number": "310-204-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7621 CANOGA AVE",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913044912",
"telephone_number": "818-598-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBBEY",
"first_name": "EILEEN",
"middle_name": "D.",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "CA",
"license": "2961-T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.