Ilyssa Liberto
Ilyssa Liberto is a Physician Assistant in Ridley Park, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Premier Orthopaedic and Sports Medicine Associates, Ltd, a 219-clinician group, works from 3 locations and accepts Medicare assignment.
- Years since qualifying
- 3
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
1 Bartol Ave Ste 100Ridley Park, PA 19078-2214
Phone: (610) 521-9996
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 200 Harris Dr, Sewell, NJ 08080-9458 — (856) 723-9556
- 1200 Old York Rd, Abington, PA 19001-3720 — (215) 481-2600
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1437933298 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 22, 2023 |
| Last updated in NPPES | April 16, 2024 |
| Certification date | April 16, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Premier Orthopaedic And Sports Medicine Associates, Ltd — 219 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Ridley Park
-
Amy Kay Ayre
1 Bartol Ave Ste 100, Ridley Park, PA 19078-2214 · (610) 521-8970
-
Rachel Bernard, PA-C
100 E Chester Pike, Ridley Park, PA 19078-1703 · (610) 521-3333
-
Richard E Leyman, PA-C
1 Bartol Ave Ste 10, Ridley Park, PA 19078-2214 · (610) 521-0150
-
Jason Dylan Rocha, PA-C
1 Bartol Ave, Ridley Park, PA 19078-2214 · (610) 521-8970