Individual provider Active NPI

Edward Paul Stegeman, PT

  • Physical Therapist
  • Fort Riley, KS
National Provider Identifier
1184630311
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-02437 Issued in KS
Practice address
650 Huebner Rd
Fort Riley, KS 66442-4030
Phone
(785) 240-5529
Fax
(785) 240-7756
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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 11-02437 KS Primary

Addresses

Primary practice location

650 Huebner Rd
Fort Riley, KS 66442-4030

Mailing address

600 Caisson Hill Road, Attn: MCXX-CLD-QM,
Irwin Army Community Hospital
Fort Riley, KS 66442-5037
Phone (785) 239-7155

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
11-02437KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mathis Rehab Centers LLC Physical Therapist PastSince Feb 20, 2006 Accepting new patients

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1184630311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CAISSON HILL ROAD, ATTN: MCXX-CLD-QM,",
            "address_2": "IRWIN ARMY COMMUNITY HOSPITAL",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664425037",
            "telephone_number": "785-239-7155",
            "fax_number": "785-239-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HUEBNER RD",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664424030",
            "telephone_number": "785-240-5529",
            "fax_number": "785-240-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGEMAN",
        "first_name": "EDWARD",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Riley, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.