Active NPI
Mary Hibbard, PHD
- Rehabilitation Practitioner
- New York, NY
National Provider Identifier
1972571065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 008280-1
- Practice address
- 5 E 98TH St
Box 1240B
New York, NY 10029-6501 - Phone
- (212) 659-9363
- Fax
- (212) 348-5901
- NPI assigned
- Mar 14, 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 008280-1 | NY | Primary |
Addresses
Primary practice location
5 E 98TH St
Box 1240B
New York, NY 10029-6501
Mailing address
5 E. 98TH Street
6TH Floor Box 1240B
New York, NY 10029
Phone (212) 659-9363
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008280-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1972571065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 E. 98TH STREET",
"address_2": "6TH FLOOR BOX 1240B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-659-9363",
"fax_number": "212-348-5901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 E 98TH ST",
"address_2": "BOX 1240B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296501",
"telephone_number": "212-659-9363",
"fax_number": "212-348-5901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIBBARD",
"first_name": "MARY",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NY",
"license": "008280-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.