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NPI Code Detail

MEDICARE: RACHEL TIPPENS PT DPT

MEDICARE: RACHEL TIPPENS PT DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist309958CA
2225100000XPhysical TherapistCP052215TAZ
3225100000XPhysical Therapist1406748TX

General Provider Information

NPI Number : 1083405906
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL TIPPENS PT DPT
Provider Business Mailing Address
First Line : 1705 WINDSONG TRL APT 1020
Second Line :
City : FORT WORTH
State : TX
Zip : 76120-4231
Country : US
Telephone Number : 817-319-3743
Fax Number :
Provider Business Practice Location Address
First Line : 5060 DAVIS BLVD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-7004
Country : US
Telephone Number : 817-498-8585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2025
Last Update Date : 04/28/2026

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Directions to “ RACHEL TIPPENS PT DPT” Practice Location

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