Priscilla Stephens

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PRISCILLA STEPHENS

Doing business as

Team Rehab

Practice address

1300 N Virginia St Ste 101
Port Lavaca, TX 77979-2512

Phone

(361) 551-2513

Fax

(361) 551-2528

NPI assigned

Jun 27, 2014

Last updated

Jul 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Priscilla Stephens

Title

Owner

Phone

(361) 551-2513

Specialties & licenses 1

Addresses

Other names 1

• Team Rehab Doing business as

Locations

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1124433289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N VIRGINIA ST STE 101",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779792512",
            "telephone_number": "361-551-2513",
            "fax_number": "361-551-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VIRGINIA ST STE 101",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779792512",
            "telephone_number": "361-551-2513",
            "fax_number": "361-551-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISCILLA STEPHENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-551-2513"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Team Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frank M Parker IV, ATC, LAT
• Port Lavaca Anesthesia Group LLC
• Port Lavaca Clinic Associates PA
• Port Lavaca Dentistry PLLC
• Port Lavaca Smiles PLLC
• Radiology Unlimited, PA
• Raymond P Dickey
• Regency Nursing Center Partners of Port Lavaca, LTD (Port Lavaca Nursing and Rehabilitation Center)
• Christina Rioux
• Kenneth Stephen Roca, MD

• Physical Medicine & Rehabilitation Physician in Port Lavaca, TX
• Providers in Port Lavaca, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.