Provider Demographics
NPI:1740869866
Name:MAY, REBECCA ANN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ANN
Last Name:MAY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2329 FOX GLENN CIR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-2667
Mailing Address - Country:US
Mailing Address - Phone:817-797-2629
Mailing Address - Fax:
Practice Address - Street 1:2329 FOX GLENN CIR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-2667
Practice Address - Country:US
Practice Address - Phone:817-797-2629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA25441225100000X
MEPT5563225100000X
FLPT35481225100000X
TX1219477225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist