Stephen Roger Villanueva, PT
Individual provider Active NPI Physical Therapist · Corpus Christi, TX
NPI 1235598707 · NPPES record last updated Feb 12, 2016
Key facts
- NPI
- 1235598707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1194576 (TX)
- Practice address
- 5530 Lipes Blvd
Corpus Christi, TX 78413-5511 - Phone
- (361) 993-9494
- NPI assigned
- Feb 12, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Texas Medical Branch at Galveston, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Texas Sports Medicine Inc
Practice addresses (Care Compare)
5530 Lipes Blvd
Corpus Christi, TX 78413-5511
Phone (361) 993-9494
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250509000554 | TX | Practitioner - Physical Therapist in Private Practice | 5799202024 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Texas Sports Medicine Inc | Physical Therapist | Current |
Accepting new patients |
| South Texas Sports Medicine Inc | Current |
Accepting new patients |
Locations
5530 Lipes Blvd
Corpus Christi, TX 78413
Phone (361) 993-9494
203 Cedar Dr
Portland, TX 78374
Phone (361) 643-3993
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1194576 | TX | Yes |
Addresses
Primary practice location
5530 Lipes Blvd
Corpus Christi, TX 78413-5511
Mailing address
5530 Lipes Blvd
Corpus Christi, TX 78413-5511
Phone (361) 993-9494
Other providers in Corpus Christi, TX
- Nicholas Noel Villalobos
- Alfonso Villamil
- Danielle Marie Villano
- Jacqueline Villanueva-Penaflor
- Myra Anai Villanueva
- Alyssa Villareal
- Amber Nicole Villareal
- Abel Villarreal Jr.
- Arnulfo Villarreal Jr.
- Arturo Villarreal Jr.
All providers in Corpus Christi, TX · Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.