Theodora J Stevens, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-04621 Issued in KS

Practice address

750 N Socora St
Ste 400
Wichita, KS 67212-3793

Phone

(316) 440-3731

Fax

(316) 440-3741

NPI assigned

May 20, 2013

Last updated

Dec 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced PT LLCGroup PAC ID 3678524709, 84 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced PT LLC

  dba Advanced PT Northwest Family

  • Physical Therapist
  • Wichita, KS
  • NPI 1780616789
  Medicare reassignment Care Compare group NPD
• Advanced PT LLC

  dba Preferred PT State Avenue

  • Physical Therapist
  • Kansas City, KS
  • NPI 1144251232
  NPD
• Advanced PT LLC

  dba Advanced PT Haysville

  • Physical Therapist
  • Haysville, KS
  • NPI 1285853465
  NPD
• Advanced PT Pca, LLC

  dba APT Northeast

  • Physical Therapist
  • Wichita, KS
  • NPI 1497157267
  NPD (past)

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1306282264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE",
            "address_2": "STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023013",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N SOCORA ST",
            "address_2": "STE 400",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123793",
            "telephone_number": "316-440-3731",
            "fax_number": "316-440-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "THEODORA",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice E Stevens, MSN,ARNP, FNP,BC
• Katherine J Stevens, CRNA
• Leslie Ann Stevens, LCMFT
• Richard Stevens, LMSW
• Shana Stevens, MD
• Beverly Stewart, RN
• Christian Stewart, LMSW-T
• Glenna Yokum Stewart, MS, RD, LD
• Jacqueline Stewart, LMLP-T, LMSW
• Karla Stewart, LCPC

• Physical Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.