Provider Demographics
NPI:1679068878
Name:CAFFEY, REBECCA ELLYSE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ELLYSE
Last Name:CAFFEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:ELLYSE
Other - Last Name:RAPSTINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:2420 W ILLINOIS AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-6337
Mailing Address - Country:US
Mailing Address - Phone:432-687-0235
Mailing Address - Fax:432-570-8713
Practice Address - Street 1:2420 W ILLINOIS AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-6337
Practice Address - Country:US
Practice Address - Phone:432-687-0235
Practice Address - Fax:432-570-8713
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-29
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
TX1247336208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty