YVONNE DESAREA LIEBIG (NPI# 1215224258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215224258 |
| Entity Type | Individual |
| Full Name | YVONNE DESAREA LIEBIG |
| Credential | PT |
| Practice Address |
21 Tamal Vista Blvd Suite 175 Corte Madera CA 94925-1130 |
| Practice Telephone | 4159245700 |
| Practice Fax Number | 4159245723 |
| Mailing Telephone | 4159245700 |
| Mailing Fax Number | 4159245723 |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 37885 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
21 TAMAL VISTA BLVD SUITE 175 |
| City | CORTE MADERA |
| State | CA |
| Zip Code | 94925-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134117435 | Arnold Knepfer | Psychiatry & Neurology | 21 Tamal Vista Blvd, 212, Corte Madera, CA 94925-1130 | 2005-10-11 |
| 1083164701 | Paul Anthony Marra | Marriage & Family Therapist | 21 Tamal Vista Blvd, Suite 200, Corte Madera, CA 94925-1130 | 2016-10-05 |
| 1124572755 | Pamela Margaret Ashkenazy | Counselor | 21 Tamal Vista Blvd, Suite 116, Corte Madera, CA 94925-1130 | 2016-08-11 |
| 1548612757 | Emily Smith Acupuncture, Inc | Clinic/Center | 21 Tamal Vista Blvd, Suite 175, Corte Madera, CA 94925-1130 | 2016-07-12 |
| 1760849723 | Deidrae Moffett | Counselor | 21 Tamal Vista Blvd, 194, Corte Madera, CA 94925-1130 | 2016-01-21 |
| 1609252931 | Stephen H. Sulmeyer | Psychologist | 21 Tamal Vista Blvd, Suite 215, Corte Madera, CA 94925-1130 | 2015-08-10 |
| 1013313337 | Farahkhan,md,inc | Psychiatry & Neurology | 21 Tamal Vista Blvd, 224, Corte Madera, CA 94925-1130 | 2014-11-13 |
| 1578975074 | Grace Ellen Roegiers | Speech-Language Pathologist | 21 Tamal Vista Blvd, 187, Corte Madera, CA 94925-1130 | 2014-06-02 |
| 1588082911 | Tisha Mallon | Acupuncturist | 21 Tamal Vista Blvd, Corte Madera, CA 94925-1130 | 2014-04-02 |
| 1720406457 | Steps To Freedom | Community/Behavioral Health | 21 Tamal Vista Blvd, Suite 226, Corte Madera, CA 94925-1130 | 2014-03-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386139061 | California Center for Ms and Neurology Inc | Psychiatry & Neurology | 21 Tamal Vista Blvd Ste 175, Corte Madera, CA 94925 | 2018-06-26 |
| 1982130514 | Summer Nipomnick | Psychologist | 200 Tamal Plaza, Suite 235, Corte Madera, CA 94925 | 2017-05-02 |
| 1376784561 | Marcie Morton | Chiropractor | 2 Fifer Ave Ste 130, Corte Madera, CA 94925 | 2009-03-17 |
| 1154598365 | Kristine Kay Twite Lehnen | Registered Nurse | 42 Creekside Ct, Corte Madera, CA 94925 | 2008-05-15 |
| 1811163884 | Susan Mary Nickerson | Nurse Anesthetist, Certified Registered | 239 Koch Rd, Corte Madera, CA 94925 | 2008-04-30 |
| 1225150485 | Noreen P Dunnigan | Marriage & Family Therapist | 200 Tamal Plaza, Ste 135, Corte Madera, CA 94925 | 2007-04-06 |
| 1356477889 | Rochelle L Teising | Marriage & Family Therapist | 100 Tamal Vista, #160, Corte Madera, CA 94925 | 2007-02-26 |
| 1518019181 | Lynne Harris | Psychologist | 100 Tamal Plaza, Suite 108, Corte Madera, CA 94925 | 2007-01-17 |
| 1801975032 | Julie B Young | Dentist | 81 Casa Buena, Suite 6, Corte Madera, CA 94925 | 2006-11-06 |
| 1033294020 | Ann Margaret O'hare | Internal Medicine | 155 Golden Hind Passage, Corte Madera, CA 94925 | 2006-10-26 |
| Find all providers in zip 94925 | ||||
| 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 |
|---|---|---|---|---|
| 1598300188 | John Donovan | Physical Therapist | 200 Tamal Plz Ste 120, Corte Madera, CA 94925-1195 | 2019-11-07 |
| 1881126142 | Sharon Anne Lovejoy | Physical Therapist | 346 Corte Madera Ave Apt 1a, Corte Madera, CA 94925-1383 | 2017-03-28 |
| 1609012566 | Zeina Asfour-grifoni | Physical Therapist | 500 Tamal Plz, Suite 507, Corte Madera, CA 94925-1151 | 2008-12-24 |
| 1114133006 | Brian Beaudoin | Physical Therapist | 208 Redwood Ave, Corte Madera, CA 94925-1572 | 2007-05-15 |
| 1982627477 | Lisa Lynn Sutton | Physical Therapist | 770 Tamalpais Dr Ste 203, Corte Madera, CA 94925-1736 | 2006-07-25 |
| 1265897516 | Synergy Plus Pt and Pilates Inc | Physical Therapist | 500 Tamal Plz, Ste 507, Corte Madera, CA 94925-1151 | 2015-12-30 |
| 1417343252 | Synergy Plus Physical Therapy Inc | Physical Therapist | 500 Tamal Plz, Suite 507, Corte Madera, CA 94925-1151 | 2015-04-08 |
| 1104151745 | Synergy Plus Pt Inc | Physical Therapist | 500 Tamal Plz, Suite 507, Corte Madera, CA 94925-1151 | 2009-10-15 |
| 1861675365 | Timothy J. Gilleran | Physical Therapist | 208 Redwood Ave, Corte Madera, CA 94925-1572 | 2007-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962365 | Sydney Nicole Stuber | Physical Therapist | 5580 La Jolla Blvd # 486, La Jolla, CA 92037-7651 | 2020-11-06 |
| 1972104925 | Andrew Sungmin Lee | Physical Therapist | 21915 Hawaiian Ave Apt D, Hawaiian Gardens, CA 90716-6001 | 2020-11-05 |
| 1932700960 | David Eric Malachowski Onne | Physical Therapist | 140 Diamond Creek Pl Unit 125, Roseville, CA 95747-7188 | 2020-11-05 |
| 1427659564 | Iris Vivien Agcaoili Lucena | Physical Therapist | 1415 Heatherwood Ave, Chula Vista, CA 91913-2973 | 2020-11-04 |
| 1881295293 | Momentum Physical Therapy | Physical Therapist | 140 Litton Dr Ste 200, Grass Valley, CA 95945-5080 | 2020-11-03 |
| 1063012623 | Dhrutika Lunagariya | Physical Therapist | 401 Webster St, Palo Alto, CA 94301-1244 | 2020-10-31 |
| 1346840147 | Herbert Ashley Larsen | Physical Therapist | 24736 Daisy Ave, Loma Linda, CA 92354-3307 | 2020-10-30 |
| 1255931382 | Ansel Bjorn Schmidt | Physical Therapist | 4500 Gilbert St, Oakland, CA 94611-4657 | 2020-10-28 |
| 1487254827 | Hy Ia | Physical Therapist | 1516 S Sierra Vista Ave Apt C, Alhambra, CA 91801-5125 | 2020-10-26 |
| 1831798487 | Olivia Renee Johnston | Physical Therapist | 26072 Merit Cir Ste 119, Laguna Hills, CA 92653-7015 | 2020-10-23 |
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| City | CORTE MADERA |
| Zip Code | 94925 |
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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.