Active NPI
Frank Jonathan Stefka, MSPT
- Physical Therapist
- Victoria, TX
National Provider Identifier
1194057240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1135507
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390840201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130427000018 | TX | Practitioner - Physical Therapist in Private Practice | 1658517248 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New 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.
-
- Physical Therapist
- San Antonio, TX
- NPI 1487658050
-
- Rehabilitation Clinic/Center
- Port Lavaca, TX
- NPI 1639669799
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.