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

Mr. Ethan John Liebler, MSPT

Individual provider Physical Therapist · NPI 1770677809

Mr. Ethan John Liebler, MSPT is a Physical Therapist in Great Neck, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

600 Northern Blvd 117
Great Neck, NY 11021-5200
Phone: (516) 478-0014
Fax: (516) 487-3989
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 22696 (NY)

Record details

NPI number1770677809
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorYes
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 8, 2007

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