Active NPI
Debra Rae Doebele, PT
- Physical Therapist
- Shamrock, TX
National Provider Identifier
1720161482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1015923
- Practice address
- 403 E 12TH St
Shamrock, TX 79079-1825 - Phone
- (806) 256-2133
- Fax
- (806) 256-1056
- NPI assigned
- Oct 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1015923 | TX | Primary |
Addresses
Primary practice location
403 E 12TH St
Shamrock, TX 79079-1825
Mailing address
403 E 12TH St
PO Box 779
Shamrock, TX 79079-1825
Phone (806) 256-2133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120521000454 | TX | Practitioner - Physical Therapist in Private Practice | 9234392754 | Practice locations: Shamrock, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720161482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 E 12TH ST",
"address_2": "PO BOX 779",
"city": "SHAMROCK",
"state": "TX",
"postal_code": "790791825",
"telephone_number": "806-256-2133",
"fax_number": "806-256-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 E 12TH ST",
"city": "SHAMROCK",
"state": "TX",
"postal_code": "790791825",
"telephone_number": "806-256-2133",
"fax_number": "806-256-1056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOEBELE",
"first_name": "DEBRA",
"middle_name": "RAE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1015923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shamrock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.