Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bethany Tackett, MOT, OTR/L

Individual provider Occupational Therapist · NPI 1275296709

Bethany Tackett, MOT, OTR/L is an Occupational Therapist in Round Rock, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2021
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

3000 Joe Dimaggio Blvd Ste 56
Round Rock, TX 78665-3996
Phone: (512) 218-6955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 122054 (TX)

Record details

NPI number1275296709
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT , OTR/L
Sole proprietorYes
NPI enumeratedOctober 21, 2021
Last updated in NPPESOctober 21, 2021
Certification dateOctober 15, 2021

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