Richard Dale Stevens, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

288 Issued in AR

Practice address

2010 Active Way
Benton, AR 72019-0000

Phone

(501) 315-0984

NPI assigned

Nov 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hot Springs Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Hot Springs, AR
  • NPI 1518153907
  NPD (past)
• Saline Orthopedic Group P a

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Benton, AR
  • NPI 1588348783
  NPD (past)
• Superior Senior Care

  • In Home Supportive Care Agency
  • Hot Springs, AR
  • NPI 1174781645
  NPD (past)

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1073596086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 ACTIVE WAY",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720190000",
            "telephone_number": "501-315-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 ACTIVE WAY",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720190000",
            "telephone_number": "501-315-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "RICHARD",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126920721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shalonda Stephens, RECOVERY ASSISTANT
• William Stephens, RECOVERY ASSISTANT
• Johnnie Stephenson, RECOVERY ASSISTANT
• Debra Steven, RECOVERY ASSISTANT
• Jennifer Stevens, PHARMACIST
• David Lewis Stewart, M.D.
• Shandra Stewart
• Kerri Stiles
• Still Waters Adult Day Health Center
• Mark Still, CMP

• Physical Therapist in Benton, AR
• Providers in Benton, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.