MEDICARE: JESSICA LEIBOWITZ

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	1311599	TX

General Provider Information

NPI Number	:	1588517890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LEIBOWITZ

Provider Business Mailing Address
First Line	:	2802 CATALINA DR UNIT B
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78741-5731
Country	:	US
Telephone Number	:	508-631-8846
Fax Number	:

Provider Business Practice Location Address
First Line	:	2712 BEE CAVES RD STE 122A
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-5662
Country	:	US
Telephone Number	:	737-234-9618
Fax Number	:

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

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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Directions to “ JESSICA LEIBOWITZ ” Practice Location

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