Active NPI
Steven Pavliska, PT
- Physical Therapist
- College Station, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1151256
- Practice address
- 1600 University Dr E
College Station, TX 77840-2642 - Phone
- (409) 691-3300
- NPI assigned
- Apr 6, 2006
- Last updated
- Jul 11, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 1151256 | TX | Primary |
Addresses
Primary practice location
1600 University Dr E
College Station, TX 77840-2642
Mailing address
PO Box 847556
Dallas, TX 75284-7556
Phone (254) 724-2111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T4561 | Other | TX | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Current | Accepting new patients | |
| Scott & White Clinic | Current | Accepting new patients | |
| Scott & White Clinic | Current | Accepting new patients |
Locations
1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550
1600 University Dr E
College Station, TX 77840
Phone (409) 691-3300
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
546 N Kegley Rd
Temple, TX 76502
Phone (254) 215-0900
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Baylor Scott & White Clinic - Temple
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1649820796
-
- Internal Medicine Physician
- College Station, TX
- NPI 1922061993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1194787853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 847556",
"city": "DALLAS",
"state": "TX",
"postal_code": "752847556",
"telephone_number": "254-724-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 UNIVERSITY DR E",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778402642",
"telephone_number": "409-691-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLISKA",
"first_name": "STEVEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1151256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "8T4561",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in College Station, TX
- Kimberly Marie Patton, N.P.
- Samuel H. Patton, M.D.
- Barry R Paull, M.D.
- Keith J Paull, M.D.
- Martha Anne Pavlasek, P.T.
- Kiersten Faith Pawlik, RBT
- Jamie Pawlowski, M.D.
- Mary Payne, LCSW
- PB Behavioral Brazos Valley, LLC (Promises Brazos Valley)
- PBH Professional Group, P.a. (PATH Brazos Valley Professional Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.