Rebekah Schaper, DPT
Individual provider
Active NPI
Physical Therapist · Vidor, TX
NPI 1114067550 · NPPES record last updated Mar 17, 2022
Key facts
- NPI
- 1114067550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1172791 (TX)
- Practice address
- 500 South St Ste 500
Vidor, TX 77662-6183
- Phone
- (409) 498-4066
- Fax
- (254) 848-4193
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20090223000387 |
TX |
Practitioner - Physical Therapist in Private Practice |
7315002573 |
Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|
| 7594 | AZ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 1172791 | TX | MD | Physical Therapist |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Physical Therapist |
225100000X |
7594 |
AZ |
|
| Physical Therapist |
225100000X |
1172791 |
TX |
Yes |
Addresses
Primary practice location
500 South St Ste 500
Vidor, TX 77662-6183
Mailing address
500 South St Ste 500
Vidor, TX 77662-6183
Phone (409) 498-4066
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 8L20672 | Other | TX | MEDICARE PTAN |
Other names
- Rebekah Hagan Former name