CASSIDY LIEBER – Physical Therapist, NPI 1316777972

CASSIDY LIEBER is a healthcare provider. based in Crown point, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 05015658A (IN). The NPI Number for CASSIDY LIEBER is 1316777972

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
CASSIDY LIEBER
NPI
1316777972
Phone
(219) 310-8278
Address
11055 BROADWAY STE E
Enumeration Date
7 August 2024
Last Update Date
7 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2195488770
Graduation Year
2024 (2 years ago)
PAC ID
8325588858
Group Practice PAC ID
8224020748
Professional Enrollment ID
I20240910004392
Address ID
IN463832070VA3125XAVEX300
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

1,866 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for CASSIDY LIEBER

  • 11055 BROADWAY STE E

    CROWN POINT, IN 463077300

    Phone: (219) 310-8278

    Fax: (219) 310-8351

    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: 2024-09-10

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
I20240910004392IPhysical Therapist In Private PracticeINTBD

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 46307)

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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: 8224020748View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
-IN
-IN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

How is CASSIDY LIEBER identified in CMS data?
CMS-hosted NPPES data lists CASSIDY LIEBER with NPI 1316777972.
Can I rely on CASSIDY LIEBER being an active provider?
As of the registry snapshot, CASSIDY LIEBER is marked active.
What is CASSIDY LIEBER best known for clinically?
Directory data describes CASSIDY LIEBER with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is CASSIDY LIEBER based?
CASSIDY LIEBER is tied to Crown Point, Indiana in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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