Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Erik Libby, PA

Individual provider Physician Assistant · NPI 1174629679

Erik Libby, PA is a Physician Assistant in Glastonbury, Connecticut. Qualified in 2004, 22 years ago. Practices with Orthopaedic Sports Specialists PC, a 9-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
22
Licensed in
CT
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

84 Glastonbury Blvd
Glastonbury, CT 06033
Phone: (860) 652-8883
Fax: (860) 652-8887
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001592 (CT)

Record details

NPI number1174629679
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 15, 2006
Last updated in NPPESAugust 15, 2008
Mailing address84 Glastonbury Blvd, Glastonbury, CT 06033-4468

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Orthopaedic Sports Specialists Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glastonbury