Individual provider Active NPI

Stephanie Naomi Pearson, M.D.

  • Physical Medicine & Rehabilitation Physician
  • San Antonio, TX
National Provider Identifier
1003109091
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
Q6085 Issued in TX
Practice address
9150 Huebner Rd Ste 290
San Antonio, TX 78240-1598
Phone
(210) 614-6432
Fax
(210) 615-3586
NPI assigned
May 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X Q6085 TX
Physical Medicine & Rehabilitation Physician 208100000X Q6085 TX Primary

Addresses

Primary practice location

9150 Huebner Rd Ste 290
San Antonio, TX 78240-1598

Mailing address

9150 Huebner Rd Ste 290
San Antonio, TX 78240-1598
Phone (210) 614-6432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160329001935 TX Practitioner - Physical Medicine and Rehabilitation 7416254941 Reassigns benefits to 1 organization
I20260602002562 VA Practitioner - Physical Medicine and Rehabilitation 7416254941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Meharry Medical College School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

1028 Topping LN
Hampton, VA 23666-1922
Phone (757) 826-4922

Merit-based Incentive Payment System (MIPS)

Final score
63.88 of 100Reported as group
Quality
10.99
Promoting interoperability
100
Improvement activities
40
Cost
68.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Spinal Clinic, P.a. CurrentSince Feb 11, 2016 Accepting new patients
South Texas Spinal Clinic, P.a. Physical Medicine & Rehabilitation CurrentSince Feb 11, 2016 Accepting new patients

Locations

9150 Huebner Rd
Ste 290
San Antonio, TX 78240
Phone (210) 615-3566

18626 Hardy Oak Blvd
Ste 300
San Antonio, TX 78258
Phone (210) 293-2922

5282 Medical Dr
Ste 200
San Antonio, TX 78229

2003 Medical Pkwy
Ste A
San Marcos, TX 78666
Phone (512) 392-5359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/935/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1003109091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD STE 290",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401598",
            "telephone_number": "210-614-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD STE 290",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401598",
            "telephone_number": "210-614-6432",
            "fax_number": "210-615-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "STEPHANIE",
        "middle_name": "NAOMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "Q6085",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "Q6085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.