MR. ETHAN JOHN LIEBLER MSPT
NPI 1770677809
Physical Therapist in Great Neck, NY

Active since October 03, 2006Accepts Medicare Assignment
600 NORTHERN BLVD, 117, GREAT NECK, NY 11021(516) 478-0014(516) 487-3989 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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. He is a graduate of Other (2000).

NPPES Registry Identity

NPI1770677809
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. ETHAN JOHN LIEBLERCredential: MSPT
Location Address600 NORTHERN BLVD, 117Great Neck, NY 11021-5200
Mailing Address56 Hemlock DrFarmingdale, NY 11735-2929 · (516) 852-5429 · Fax (516) 293-3829
Fax(516) 487-3989
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1770677809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NY · 22696
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
600 NORTHERN BLVD, Great Neck, NY 11021

Other Identifiers 2

Medicare ID-Type Unspecified04776NY · Queens Ghi
Medicare ID-Type UnspecifiedQL5051NY · Nassau

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Ethan John Liebler Mspt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052308608
PECOS Enrollment IDI20150716000153

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Physician Assistant (Surgical)
600 NORTHERN BLVD, SUITE 300
GREAT NECK, NY 11021
Specialist
600 NORTHERN BLVD, SUITE 100
GREAT NECK, NY 11021
Orthopaedic Surgery
600 NORTHERN BLVD, STE 300
GREAT NECK, NY 11021
Internal Medicine (Gastroenterology)
600 NORTHERN BLVD, STE 106
GREAT NECK, NY 11021
Acupuncturist
600 NORTHERN BLVD, SUITE 109
GREAT NECK, NY 11021
Student in an Organized Health Care Education/Training Program
600 NORTHERN BLVD
GREAT NECK, NY 11021
Psychiatry & Neurology (Neurology)
600 NORTHERN BLVD, SUITE 118
GREAT NECK, NY 11021
Ophthalmology
600 NORTHERN BLVD, SUITE 216
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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.