NPIMap

Organization Active NPI

Liberty Rehabilitation Specialists Inc

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1912939414
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LIBERTY REHABILITATION SPECIALISTS INC
Practice address
2130 NE Loop 410 Ste 212
San Antonio, TX 78217-4662
Phone
(210) 656-5848
Fax
(210) 656-5847
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Mrs. Carmen Noemi Castillo
Title
Office Manager
Phone
(210) 798-1040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X

Addresses

Primary practice location

2130 NE Loop 410 Ste 212
San Antonio, TX 78217-4662

Mailing address

2130 NE Loop 410 Ste 212
San Antonio, TX 78217-4662
Phone (210) 656-5848

Other practice location 1

17006 San Pedro Ave
San Antonio, TX 78232-2231
Phone (210) 490-4738

Other practice location 2

3138 SE Military Dr # F113
San Antonio, TX 78223-3893
Phone (210) 922-6292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090312000079 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012907033 Receives reassigned benefits from 18 practitioners
2 other NPIs on this enrollment
Practice locations: San Antonio, TX

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3138 SE Military Dr
Ste F113
San Antonio, TX 78223
Phone (210) 922-6292

2130 NE Loop 410
Ste 212
San Antonio, TX 78217
Phone (210) 656-5848

415 Embassy Oaks
Ste 202
San Antonio, TX 78216
Phone (210) 490-4738

3138 SE Military Dr
#F113
San Antonio, TX 78223
Phone (210) 922-6292

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1912939414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 NE LOOP 410 STE 212",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782174662",
            "telephone_number": "210-656-5848",
            "fax_number": "210-656-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 NE LOOP 410 STE 212",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782174662",
            "telephone_number": "210-656-5848",
            "fax_number": "210-656-5847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17006 San Pedro Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782322231",
            "country_code": "US",
            "telephone_number": "210-490-4738",
            "fax_number": "210-490-5231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3138 SE Military Dr # F113",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782233893",
            "country_code": "US",
            "telephone_number": "210-922-6292",
            "fax_number": "210-922-6302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIBERTY REHABILITATION SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "NOEMI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-798-1040",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.