Individual provider Active NPI

Rebekah Gilmore, MOT, OTR/L

  • Occupational Therapist
  • Boerne, TX
National Provider Identifier
1457606469
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
116485 Issued in TX
Practice address
18 Scenic Loop Rd # 200D
Boerne, TX 78006-8672
Phone
(830) 755-0098
Fax
(830) 327-0099
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 116485 TX Primary

Addresses

Primary practice location

18 Scenic Loop Rd # 200D
Boerne, TX 78006-8672

Mailing address

18 Scenic Loop Rd # 200D
Boerne, TX 78006-8672
Phone (817) 800-4431

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250106002184 TX Practitioner - Occupational Therapist in Private Practice 2466980362 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
116485TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebonnet Pediatric Therapy LLC CurrentSince Oct 20, 2024 Accepting new patients
Today'S Therapy Solutions Past Accepting new patients

Locations

18 Scenic Loop Rd
#200D
Boerne, TX 78006
Phone (817) 800-4431

18 Scenic Loop Rd
Ste 200D
Boerne, TX 78006
Phone (830) 755-0098

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1457606469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SCENIC LOOP RD # 200D",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068672",
            "telephone_number": "817-800-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SCENIC LOOP RD # 200D",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068672",
            "telephone_number": "830-755-0098",
            "fax_number": "830-327-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "REBEKAH",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "116485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.