MR. ETHAN JOHN LIEBLER MSPT
NPI 1770677809
Physical Therapist in Great Neck, NY
About Mr. Ethan John Liebler Mspt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ETHAN JOHN LIEBLER MSPT (NPI 1770677809) is an individual physical therapist in Great Neck, New York, licensed in New York (22696) and active in the NPI registry since October 2006.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Ethan John Liebler Mspt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Ethan Liebler reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fresh Meadows, NY 11365
- Reassigned Medicare billing, New York enrollment
- 193 clinicians in this Medicare group
Hicksville, NY 11801
- Reassigned Medicare billing, New York enrollment
- 3 clinicians in this Medicare group
Long Beach, NY 11561
- Reassigned Medicare billing, New York enrollment
- 72 clinicians in this Medicare group
Valley Cottage, NY 10989
- Reassigned Medicare billing, New York enrollment
- 137 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
GREAT NECK, NY 11021
GREAT NECK, NY 11021
GREAT NECK, NY 11021
GREAT NECK, NY 11021
GREAT NECK, NY 11021
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 Ethan Liebler's NPI number?
The NPI number for Ethan Liebler is 1770677809. It was assigned to this individual provider in the NPPES registry on October 3, 2006.
Where is Ethan Liebler located?
Ethan Liebler practices at 600 Northern Blvd 117, Great Neck, NY 11021. The listed phone number is (516) 478-0014.
What is Ethan Liebler's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Ethan Liebler enrolled in Medicare?
Yes. Ethan Liebler is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ethan Liebler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Liebler reassigns Medicare benefits to 4 organizations: Peyman Younesi MD PLLC (Fresh Meadows, NY), Fit To Function Occupational Therapy Services PLLC (Hicksville, NY), Ats Rehab Ot & Pt & Slp PLLC (Long Beach, NY) and My Medical PC (Valley Cottage, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Liebler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ethan Liebler was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.