Provider Demographics
NPI:1902325095
Name:SCHRAPPS, CAITLYN RAE (OTR)
Entity Type:Individual
Prefix:
First Name:CAITLYN
Middle Name:RAE
Last Name:SCHRAPPS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:CAITLYN
Other - Middle Name:RAE
Other - Last Name:DOWNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:6755 PHELAN BLVD STE 38
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-6078
Mailing Address - Country:US
Mailing Address - Phone:409-554-0689
Mailing Address - Fax:409-554-0483
Practice Address - Street 1:6755 PHELAN BLVD STE 38
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-6078
Practice Address - Country:US
Practice Address - Phone:409-554-0689
Practice Address - Fax:409-554-0483
Is Sole Proprietor?:No
Enumeration Date:2017-09-11
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118602225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX390626501Medicaid