Individual provider Active NPI

Frank Jonathan Stefka, MSPT

  • Physical Therapist
  • Victoria, TX
National Provider Identifier
1194057240
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1135507 Issued in TX
Practice address
1101 E Airline Rd
Victoria, TX 77901-4000
Phone
(361) 237-1670
Fax
(361) 237-1703
NPI assigned
Jan 30, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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 1135507 TX Primary

Addresses

Primary practice location

1101 E Airline Rd
Victoria, TX 77901-4000

Mailing address

1101 E Airline Rd
Victoria, TX 77901-4000
Phone (361) 237-1670

Other practice location 1

1108 N Esplanade St
Cuero, TX 77954-3434
Phone (361) 541-5915

Other practice location 2

9606 NE Zac Lentz Pkwy
Victoria, TX 77904-3115
Phone (361) 582-2110

Other practice location 3

300 N Virginia St
Port Lavaca, TX 77979-3449
Phone (361) 552-5400

Other identifiers 1

IdentifierTypeStateIssuer
390840201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130427000018 TX Practitioner - Physical Therapist in Private Practice 1658517248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zoom Rehabilitation,Inc Past Accepting new patients
RGV-Nueces Rehabilitation, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1264809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1194057240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E AIRLINE RD",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779014000",
            "telephone_number": "361-237-1670",
            "fax_number": "361-237-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E AIRLINE RD",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779014000",
            "telephone_number": "361-237-1670",
            "fax_number": "361-237-1703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1108 N Esplanade St",
            "address_purpose": "LOCATION",
            "city": "Cuero",
            "state": "TX",
            "postal_code": "779543434",
            "country_code": "US",
            "telephone_number": "361-541-5915",
            "fax_number": "361-541-4412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9606 NE Zac Lentz Pkwy",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779043115",
            "country_code": "US",
            "telephone_number": "361-582-2110",
            "fax_number": "361-541-4411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 N Virginia St",
            "address_purpose": "LOCATION",
            "city": "Port Lavaca",
            "state": "TX",
            "postal_code": "779793449",
            "country_code": "US",
            "telephone_number": "361-552-5400",
            "fax_number": "361-552-5406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEFKA",
        "first_name": "FRANK",
        "middle_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-30",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1135507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390840201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.