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TRACY LYNN LIBERATORE PA-C
NPI 1396878922
Physician Assistant - Medical in Wilkes Barre, PA

Active since March 13, 2007
150 MUNDY ST, WILKES BARRE, PA 18702(570) 824-0930(570) 824-7755 Get Directions Write a Review

NPPES record last updated: February 5, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tracy Lynn Liberatore Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY LYNN LIBERATORE PA-C (NPI 1396878922) is an individual medical provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MA051327) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1396878922
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTRACY LYNN LIBERATORECredential: PA-C
Location Address150 MUNDY STWilkes Barre, PA 18702-6830
Mailing Address150 Mundy St, Mac Iv BuildingWilkes Barre, PA 18702-6830 · (570) 824-0930 · Fax (570) 824-7755
Phone(570) 824-0930
Fax(570) 824-7755
Sole ProprietorNo
Enumeration DateMarch 13, 2007
Last NPPES UpdateFebruary 5, 2008
✔ NPI 1396878922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA051327
150 MUNDY ST, Wilkes Barre, PA 18702
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Other Identifiers 2

OtherP00388511PA · Railroad Medicare
Medicare PIN109407J67PA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARY ELLEN MCCORMICK CRNP
Nurse Practitioner
150 MUNDY ST, MAC IV BUILDING
WILKES BARRE, PA 18702
Luzerne County (570) 824-0930
JOHN A. KLINE M.D.
Physical Medicine & Rehabilitation
150 MUNDY ST
WILKES BARRE, PA 18702
Luzerne County (570) 824-0930
MID-STATE OCCUPATIONAL HEALTH SERVICES, INC.
Clinic/Center (Occupational Medicine)
150 MUNDY ST, MAC 1
WILKES BARRE, PA 18702
Luzerne County (570) 970-2300
AMERICAN HOMECARE SUPPLY CO
Durable Medical Equipment & Medical Supplies
150 MUNDY ST, MAC IV BUILDING
WILKES BARRE, PA 18702
Luzerne County (570) 825-7600
JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE
Rehabilitation Hospital
150 MUNDY ST
WILKES BARRE, PA 18702
Luzerne County (570) 826-3800
DENISE ANN ZAVADA L.C.S.W.
Social Worker (Clinical)
150 MUNDY ST
WILKES BARRE, PA 18702
Luzerne County (570) 830-4207
KELLY MONICA GAZEY PT
Physical Therapist
150 MUNDY ST
WILKES BARRE, PA 18702
Luzerne County (570) 826-3800
GREGORY G. BASTING M.D.
Physical Medicine & Rehabilitation
150 MUNDY ST
WILKES BARRE, PA 18702
Luzerne County (570) 824-0930

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Liberatore's NPI number?

The NPI number for Tracy Liberatore is 1396878922. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Tracy Liberatore located?

Tracy Liberatore practices at 150 Mundy St, Wilkes Barre, PA 18702. The listed phone number is (570) 824-0930.

What is Tracy Liberatore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Tracy Liberatore was last updated on February 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.