MEDICARE: LIBRE REHAB STAFFING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1154500	TX

General Provider Information

NPI Number	:	1356503965
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIBRE REHAB STAFFING, LLC

Provider Business Mailing Address
First Line	:	1818 S LAKESHORE BLVD
Second Line	:	#33
City	:	AUSTIN
State	:	TX
Zip	:	78741-1249
Country	:	US
Telephone Number	:	512-589-1372
Fax Number	:	512-436-9241

Provider Business Practice Location Address
First Line	:	1818 S LAKESHORE BLVD
Second Line	:	#33
City	:	AUSTIN
State	:	TX
Zip	:	78741-1249
Country	:	US
Telephone Number	:	512-589-1372
Fax Number	:	512-436-9241

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ERIC THOMAS FISHER
Credential	:	RPT
Telephone Number	:	512-589-1372

Provider Enumeration Date	:	06/26/2008
Last Update Date	:	06/26/2008

Similar Medicare Providers

1659599751 — SUSANNE SLAY LPC
Practice Location Address:

2301 W ANDERSON LN STE 103
AUSTIN, TX
78757-1249

Practice Phone: 512-374-1030
Practice Fax: 512-374-1566

1336072727 — SABRINA MARIE GUERRA
Practice Location Address:

2901 MONTOPOLIS DR
AUSTIN, TX
78741-6411

Practice Phone: 512-978-9901
Practice Fax:

1356274757 — HAYLIE DICKSON
Practice Location Address:

2901 MONTOPOLIS DR
AUSTIN, TX
78741-6411

Practice Phone: 512-978-9901
Practice Fax: 512-901-9765

1902801756 — GAIL KOELKER CFNP
Practice Location Address:

2901 MONTOPOLIS DR
AUSTIN, TX
78741-6411

Practice Phone: 512-978-9901
Practice Fax: 512-901-9765

1609877299 — MURRAY F. NANCE PA-C
Practice Location Address:

1920 E RIVERSIDE DR STE A-110
AUSTIN, TX
78741-1348

Practice Phone: 123-261-6005
Practice Fax: 123-261-6065

1174514723 — DAWN CAROLINE PEASE ANP, WHCNP
Practice Location Address:

2901 MONTOPOLIS DR
AUSTIN, TX
78741-6411

Practice Phone: 512-978-9901
Practice Fax: 512-901-9765

Directions to “LIBRE REHAB STAFFING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.