Active NPI
Charles L Libby, PT
- Physical Therapist
- Houston, TX
National Provider Identifier
1144400169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1140259
- Practice address
- 17705 Red Oak Dr
Houston, TX 77090-7706 - Phone
- (281) 440-0966
- NPI assigned
- Nov 7, 2007
- Last updated
- Nov 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1140259 | TX | Primary |
Addresses
Primary practice location
17705 Red Oak Dr
Houston, TX 77090-7706
Mailing address
2222 Sullivan TRL
Easton, PA 18040-7958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Rehab LTD | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1144400169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 SULLIVAN TRL",
"city": "EASTON",
"state": "PA",
"postal_code": "180407958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17705 RED OAK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770907706",
"telephone_number": "281-440-0966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBBY",
"first_name": "CHARLES",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-07",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1140259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Henry Lizen Liaw, M.D.
- Matthew Liaw
- Stephen Liaw, M.D.
- Voon P Liaw, M.D
- Winston R Liaw, MD
- Liberated Minds TX Counseling PLLC (Acceptance Path Counseling)
- Christine Liberatore, R.D.
- Tyler J Liberatore, MA, LBA, BCBA
- Shari Rachel Liberman, MD
- Liberty County Hospital District No 1 (Misty Willow Healthcare and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.