LIBERTY ENTERPRISES, LLC (NPI# 1528669066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528669066 |
| Entity Type | Organization |
| Organization Name | LIBERTY ENTERPRISES, LLC |
| Practice Address |
5227 Road K Ne Moses Lake WA 98837-9038 |
| Practice Telephone | 5094318943 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | DOUGLAS RONALD DIAZ (PT) |
| Authorized Official Telephone | 5094318943 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5227 Road K Ne, Moses Lake, WA 988379038 | 5094318943 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LIBERTY ENTERPRISES, LLC | Rd #1, Box 229 Robinson Rd, Mohawk, New York 13407 |
| Washington State Corporations | LIBERTY ENTERPRISES, LLC | 6451 East D Street Suite B, Tacoma, WA 98404 |
| Street Address |
5227 ROAD K NE |
| City | MOSES LAKE |
| State | WA |
| Zip Code | 98837-9038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316447097 | Lateef Ajani Olaniyan | Pharmacist | 2709 W Broadway Avenue, Southgate Pharmacy, Moses Lake, WA 98837 | 2018-02-19 |
| 1982117651 | Amanda M Cross | Massage Therapist | 2200 S. Maiers Rd., Suite B, Moses Lake, WA 98837 | 2017-11-15 |
| 1962928200 | E & H Holdings, LLC | Family Medicine | 708 E Penn St, Moses Lake, WA 98837 | 2017-08-18 |
| 1912366881 | Tara L Zamarron | Nurse Practitioner | 1550 S. Pioneer Way, Samaritan Family Physicians, Moses Lake, WA 98837 | 2016-02-19 |
| 1124401732 | Christian Mmadibuobu Okafor | Dentist | 605 South Coolidge Street, Moses Lake Community Health Center, Moses Lake, WA 98837 | 2015-06-30 |
| 1790182004 | Tari Ann Devaney | Dental Hygienist | 605 Coolidge Drive, Moses Lake, WA 98837 | 2014-12-02 |
| 1356746150 | Anna Marie Peterson | Counselor | 814 S. Wilder St., Moses Lake, WA 98837 | 2014-10-23 |
| 1699119495 | Geoffrey T. Ping D.d.s. and Asia Dela Cruz D.d.s. Pllc | Dentist | 800 N. Stratford Rd., Moses Lake, WA 98837 | 2013-04-23 |
| 1831433325 | George Kenyon Exeter | Physical Therapy Assistant | 817 E Plum Ave, Moses Lake, WA 98837 | 2012-11-21 |
| 1114219698 | Sound Oxygen Service Inc | Durable Medical Equipment & Medical Supplies | 1010 S Pioneer Way Ste C, Moses Lake, WA 98837 | 2011-05-03 |
| Find all providers in zip 98837 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265980833 | Nina B Garcia | Physical Therapist | 800 E Hayden Dr, Moses Lake, WA 98837-4408 | 2016-09-13 |
| 1811349152 | Christine Andrzejewski | Physical Therapist | 919 W Loop Dr, Moses Lake, WA 98837-1543 | 2016-07-11 |
| 1578809620 | Gretchen Hart | Physical Therapist | 12730 Road 1.5 Se, Moses Lake, WA 98837-9467 | 2012-12-18 |
| 1487983532 | Jiselle S Urbano | Physical Therapist | 1133 N Grape Dr, B204, Moses Lake, WA 98837-4052 | 2009-12-21 |
| 1922259506 | Christian David O'shea | Physical Therapist | 2606 Elgin Rd Ne, Moses Lake, WA 98837-9763 | 2008-10-01 |
| 1346322336 | Steve S Roylance | Physical Therapist | 1342 S Pioneer Way, Moses Lake, WA 98837-2410 | 2006-10-19 |
| 1326149667 | Randy Clair Bruce | Physical Therapist | 515 N Stratford Rd, Moses Lake, WA 98837-1572 | 2006-09-26 |
| 1114550894 | Mcclayne Thomas Powers | Physical Therapist | 1342 S Pioneer Way, Moses Lake, WA 98837-2410 | 2020-02-20 |
| 1265083349 | Jacob Tanner Hunt | Physical Therapist | 1620 S Pioneer Way, Moses Lake, WA 98837-2487 | 2019-09-20 |
| 1437642667 | Breena Berkland | Physical Therapist | 817 E Plum St, Moses Lake, WA 98837 | 2018-06-12 |
| Find all providers in MOSES LAKE | ||||
| City | MOSES LAKE |
| Zip Code | 98837 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.