YAAQOV LIBOVNER (PT, DPT) – Physical Therapist, NPI 1184430613

YAAQOV LIBOVNER (PT, DPT) is a healthcare provider. based in Rancho santa margarita, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT307155 (CA). The NPI Number for YAAQOV LIBOVNER (PT, DPT) is 1184430613

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
YAAQOV LIBOVNER (PT, DPT)
NPI
1184430613
Phone
(949) 459-9010
Address
29803 SANTA MARGARITA PKWY
Enumeration Date
9 December 2024
Last Update Date
9 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9494599010
Graduation Year
2024 (2 years ago)
PAC ID
1456887306
Group Practice PAC ID
2567360605
Professional Enrollment ID
I20241216001581
Address ID
CA926883609RA29803PKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for YAAQOV LIBOVNER (PT, DPT)

  • 29803 SANTA MARGARITA PKWY

    RANCHO SANTA MARGARITA, CA 926883609

    Phone: (949) 459-9010

    Fax: (949) 459-9020

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241216001581IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92688)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567360605View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What NPI should I save for YAAQOV LIBOVNER (PT, DPT)?
Save NPI 1184430613 if you need a stable reference for YAAQOV LIBOVNER (PT, DPT).
Is YAAQOV LIBOVNER (PT, DPT) active in the national directory?
YAAQOV LIBOVNER (PT, DPT)'s public NPI profile is in an active state.
Can you summarize YAAQOV LIBOVNER (PT, DPT)'s specialty in plain language?
Clinically, the directory lists YAAQOV LIBOVNER (PT, DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for YAAQOV LIBOVNER (PT, DPT)?
We surface Rancho Santa Margarita, California for YAAQOV LIBOVNER (PT, DPT) based on available NPPES addresses.
Is YAAQOV LIBOVNER (PT, DPT) a real provider?
This page reflects official NPPES data for NPI 1184430613. Always confirm identity and privileges with the practice and licensing boards.

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