Provider Demographics
NPI:1114067550
Name:SCHAPER, REBEKAH (DPT)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:
Last Name:SCHAPER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:
Other - Last Name:HAGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:500 SOUTH ST STE 500
Mailing Address - Street 2:
Mailing Address - City:VIDOR
Mailing Address - State:TX
Mailing Address - Zip Code:77662-6183
Mailing Address - Country:US
Mailing Address - Phone:409-498-4066
Mailing Address - Fax:254-848-4193
Practice Address - Street 1:500 SOUTH ST STE 500
Practice Address - Street 2:
Practice Address - City:VIDOR
Practice Address - State:TX
Practice Address - Zip Code:77662-6183
Practice Address - Country:US
Practice Address - Phone:409-498-4066
Practice Address - Fax:254-848-4193
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7594225100000X
TX1172791225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L20672OtherMEDICARE PTAN