Maureen Stevens, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1103612 Issued in TX

Practice address

5957 9TH Ave
Port Arthur, TX 77642-6204

Phone

(409) 982-8878

Fax

(409) 982-5119

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Triangle TherapeuticsGroup PAC ID 2466443601, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Triangle Therapeutics

  • Specialist
  • Port Arthur, TX
  • NPI 1619995651
  Medicare reassignment Care Compare group NPD
• Southeast Texas Hematology and Oncology Center, PA

  • Specialist
  • Port Arthur, TX
  • NPI 1598749491
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1063430007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5957 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776426204",
            "telephone_number": "409-982-8878",
            "fax_number": "409-982-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5957 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776426204",
            "telephone_number": "409-982-8878",
            "fax_number": "409-982-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1103612",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1103612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153059401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "86647T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sreedhar Polavarapu MD PA
• Lavanya Janardan Srinivasan, RD
• Standard Medical Clinic, PA
• Stephanie P. Cunningham DO PA
• Stephen L. Hall, D.O., P.a.
• John Harlan Stewart, MD
• Strandz Medical Prosthetics LLC
• Barbara Marie Stubee, M.D.
• Christopher Paul Suire
• Uma Sukhavasi, M.D.

• Physical Therapist in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.