Mr Ethan John Liebler, MSPT - Medicare Physical Therapist in Great Neck, NY

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Mr Ethan John Liebler, MSPT is a medicare enrolled "Physical Therapist" provider in Great Neck, New York. His current practice location is 600 Northern Blvd, 117, Great Neck, New York. You can reach out to his office (for appointments etc.) via phone at (516) 478-0014.

Mr Ethan John Liebler is licensed to practice in New York (license number 22696) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770677809.

Contact Information

Mr Ethan John Liebler, MSPT
600 Northern Blvd, 117,
Great Neck, NY 11021-5200
(516) 478-0014
(516) 487-3989

Map and Direction




Healthcare Provider's Profile

Full NameMr Ethan John Liebler
GenderMale
SpecialityPhysical Therapist
Location600 Northern Blvd, Great Neck, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770677809
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1052308608
  • Enrollment ID: I20150716000153

Medical Identifiers

Medical identifiers for Mr Ethan John Liebler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770677809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 22696 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Ethan John Liebler allows following entities to bill medicare on his behalf.
Provider NameUcpa Of Suffolk Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1609964790
PECOS PAC ID: 8022907542
Enrollment ID: O20040312000828
Provider NameGhazanfar W Haidery Md Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1619141645
PECOS PAC ID: 4284692906
Enrollment ID: O20041228000927
Provider NamePeyman Younesi Md Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1891053328
PECOS PAC ID: 4981860202
Enrollment ID: O20120731000499
Provider NameAts Rehab Ot & Pt & Slp Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1841711454
PECOS PAC ID: 2567734452
Enrollment ID: O20170828003406
Provider NameFit To Function Occupational Therapy Services Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1245753508
PECOS PAC ID: 1658638069
Enrollment ID: O20171120001614
Provider NameMy Medical Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1518637891
PECOS PAC ID: 0143610600
Enrollment ID: O20211124001353

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ethan John Liebler is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Ethan John Liebler, MSPT
56 Hemlock Dr,
Farmingdale, NY 11735-2929

Ph: (516) 852-5429		Mr Ethan John Liebler, MSPT
600 Northern Blvd, 117,
Great Neck, NY 11021-5200

Ph: (516) 478-0014

Reviews and Comments


Physical Therapist in Great Neck, NY

Ms. Susan Carol Lenihan, PT
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Medicare: Accepting Medicare Assignments
Practice Location: 475 Northern Blvd Ste 11, Great Neck, NY 11021
Phone: 516-829-0030    Fax: 516-466-7723
Meng Liu,
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Medicare: Not Enrolled in Medicare
Practice Location: 475 Northern Blvd Ste 11, Great Neck, NY 11021
Phone: 516-829-0030    Fax: 516-466-7723
Sri Valli Bolla, DPT
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Medicare: Accepting Medicare Assignments
Practice Location: 475 Northern Blvd Ste 11, Great Neck, NY 11021
Phone: 516-829-0030    
Dr. Joseph Weisberg, PHD PT
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Medicare: Not Enrolled in Medicare
Practice Location: 1 Larch Dr, Great Neck, NY 11021
Phone: 516-482-8016    Fax: 516-482-8016
John Simmons P T P C
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 225 Community Drive, Suite 10 Sports Physical Therapy Of Manhasset, Great Neck, NY 11021
Phone: 516-829-7639    Fax: 516-829-7352
Angela J Bailey-hardy, PT
Physical Therapist
Medicare: May Accept Medicare Assignments
Practice Location: 475 Northern Blvd, Suite 11, Great Neck, NY 11021
Phone: 516-829-0030    Fax: 516-466-7723
Briana Motherway,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 475 Northern Blvd Ste 11, Great Neck, NY 11021
Phone: 516-829-0030    Fax: 516-466-7723

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.