Provider Demographics
NPI:1699405191
Name:MORGAN, RACHEL ANN (OTD, OTR)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:OTD, OTR
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:ANN
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4875 GRAMERCY OAKS DR # 3-432
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-5335
Mailing Address - Country:US
Mailing Address - Phone:469-855-0323
Mailing Address - Fax:
Practice Address - Street 1:9300 LAKEVIEW PKWY
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-4476
Practice Address - Country:US
Practice Address - Phone:972-475-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122605225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX470092OtherNATIONAL BOARD FOR CERTIFIED OCCUPATIONAL THERAPISTS
TX122605OtherOTR STATE LICENSE NUMBER