Provider Demographics
NPI:1841748100
Name:COMPTON, RACHEL E (DPT)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:E
Last Name:COMPTON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:E
Other - Last Name:STINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:9136 S SHERIDAN RD
Mailing Address - Street 2:STE B
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5332
Mailing Address - Country:US
Mailing Address - Phone:918-488-9991
Mailing Address - Fax:918-488-9989
Practice Address - Street 1:9136 S SHERIDAN RD
Practice Address - Street 2:STE B
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5332
Practice Address - Country:US
Practice Address - Phone:918-488-9991
Practice Address - Fax:918-488-9989
Is Sole Proprietor?:No
Enumeration Date:2016-09-15
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5136225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200771110AMedicaid