MEDICARE: MICHELLE STAPLES PT

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	208100000X	Physical Medicine & Rehabilitation Physician	1352665	TX

General Provider Information

NPI Number	:	1205505732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE STAPLES PT

Provider Business Mailing Address
First Line	:	19017 PEQUENIA CV
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78738-6216
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19017 PEQUENIA CV
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78738-6216
Country	:	US
Telephone Number	:	609-410-0806
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2021
Last Update Date	:	02/17/2026

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Directions to “ MICHELLE STAPLES PT” Practice Location

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