Individual provider Active NPI

Byron Cade Steen, DPT

  • Physical Therapist
  • Diberville, MS
National Provider Identifier
1174014690
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6397 Issued in MS
Practice address
10470 Diberville Blvd Ste H
Diberville, MS 39540-2419
Phone
(228) 280-8120
NPI assigned
May 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT6397 MS Primary

Addresses

Primary practice location

10470 Diberville Blvd Ste H
Diberville, MS 39540-2419

Mailing address

10470 Diberville Blvd Ste H
Diberville, MS 39540-2419
Phone (228) 280-8120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT6397MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Exceed of Ms, LLC Physical Therapist CurrentSince Sep 17, 2023 Accepting new patients

Locations

12261 Highway 49
Ste 1
Gulfport, MS 39503
Phone (228) 265-7185

Organizations & group practices 1

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": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1174014690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 DIBERVILLE BLVD STE H",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395402419",
            "telephone_number": "228-280-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10470 DIBERVILLE BLVD STE H",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395402419",
            "telephone_number": "228-280-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEEN",
        "first_name": "BYRON",
        "middle_name": "CADE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diberville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.