Stevan Physical Therapy and Rehabilitation, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT002679-L Issued in PA

Legal business name

STEVAN PHYSICAL THERAPY AND REHABILITATION, INC.

Practice address

10 Tupelo LN
Langhorne, PA 19047-3406

Phone

(215) 752-2159

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Reid Van Demark, P.T., ATC, CSCSNPI 1316166960

Title

President

Phone

(215) 752-2159

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Reid Vandemark, P.T., ATC, CSCS

  • Physical Therapist
  • Langhorne, PA
  • NPI 1316166960
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215154711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TUPELO LN",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473406",
            "telephone_number": "215-752-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TUPELO LN",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473406",
            "telephone_number": "215-752-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVAN PHYSICAL THERAPY AND REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN DEMARK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "REID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-752-2159",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T., ATC, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT002679-L",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00109000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ileana M. Stephano, PA-C
• Sterling Clinical Laboratory, Inc
• Kristin Michelle Sterling, BEHAVIOR TECHNICIAN
• Kathryn Stern, MS OTR/L
• Doris M. Sterner, MSW, LCSW
• Haley Marie Stevenson, PT
• Brandi Melissa Stewart, REGISTERED NURSE
• Irina Stikhilyas, PHARMD
• Lauren Stites, PTA
• Vincent C Stonis III, PA-C

• Physical Therapist in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.