Provider Demographics
NPI:1093487431
Name:COMPTON, REBECCA (MOTR)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:COMPTON
Suffix:
Gender:F
Credentials:MOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 FM 967 # A
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-3461
Mailing Address - Country:US
Mailing Address - Phone:512-295-2273
Mailing Address - Fax:512-295-2280
Practice Address - Street 1:1750 FM 967 # A
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-3461
Practice Address - Country:US
Practice Address - Phone:512-295-2273
Practice Address - Fax:512-295-2280
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122109225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty