NPIMap

Organization Active NPI

Libre Rehab Staffing, LLC

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1356503965
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1154500 Issued in TX
Legal business name
LIBRE REHAB STAFFING, LLC
Practice address
1818 S Lakeshore Blvd
#33
Austin, TX 78741-1249
Phone
(512) 589-1372
Fax
(512) 436-9241
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Eric Thomas Fisher, RPTNPI 1457419442
Title
Owner
Phone
(512) 589-1372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1154500 TX Primary

Addresses

Primary practice location

1818 S Lakeshore Blvd
#33
Austin, TX 78741-1249

Mailing address

1818 S Lakeshore Blvd
#33
Austin, TX 78741-1249
Phone (512) 589-1372

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1356503965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 S LAKESHORE BLVD",
            "address_2": "#33",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787411249",
            "telephone_number": "512-589-1372",
            "fax_number": "512-436-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S LAKESHORE BLVD",
            "address_2": "#33",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787411249",
            "telephone_number": "512-589-1372",
            "fax_number": "512-436-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBRE REHAB STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-589-1372",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1154500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.