Stevenson Physical Therapy, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

PT0002829 Issued in FL

Legal business name

STEVENSON PHYSICAL THERAPY, INC.

Doing business as

Stevenson & Associates Physical Therapy

Practice address

6324 Corporate CT
Fort Myers, FL 33919-3507

Phone

(239) 482-4459

Fax

(239) 482-8396

NPI assigned

Jan 31, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Eric W Stevenson, PT

Title

President

Phone

(239) 454-6262

Specialties & licenses 1

Addresses

Other names 1

• Stevenson & Associates Physical Therapy Doing business as

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1336445931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15620 MCGREGOR BLVD",
            "address_2": "SUITE 115",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082528",
            "telephone_number": "239-454-6262",
            "fax_number": "239-454-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 CORPORATE CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193507",
            "telephone_number": "239-482-4459",
            "fax_number": "239-482-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENSON PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-454-6262",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "PT0002829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stevenson & Associates Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda D Stevens, DC
• Sharon Stevens, PTA
• Shayna M. Stevens, OTR/L
• Teresa Fernandez Stevens, M.D.
• Timothy Stevens
• Stevenson Physical Therapy, Inc. (Stevenson & Associates Physical Therapy)
• Elizabeth Stevenson
• Eric W Stevenson, PT
• Leah Stevenson, OTR/L
• Cynthia Stewart, APRN, CNM

• Rehabilitation Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.