Provider Demographics
NPI:1598779183
Name:MCCABE, RACHEL V (OT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:V
Last Name:MCCABE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5047 SHERRI ANN RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233-6213
Mailing Address - Country:US
Mailing Address - Phone:210-828-2503
Mailing Address - Fax:210-828-0590
Practice Address - Street 1:18626 HARDY OAK BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4464
Practice Address - Country:US
Practice Address - Phone:210-237-4464
Practice Address - Fax:210-249-4911
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106664225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX297525YMSZMedicare PIN