Debra Rae Doebele, PT
Individual provider Active NPI Physical Therapist · Shamrock, TX
NPI 1720161482 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720161482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1015923 (TX)
- Practice address
- 403 E 12TH St
Shamrock, TX 79079-1825 - Phone
- (806) 256-2133
- Fax
- (806) 256-1056
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120521000454 | TX | Practitioner - Physical Therapist in Private Practice | 9234392754 | Practice locations: Shamrock, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115923 | TX | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1015923 | TX | Yes |
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
Other providers in Shamrock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.