Individual provider Active NPI

Mary Elizabeth Stevens, P.T.

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1346428471
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
853PT Issued in MT
Practice address
999 Trail Terrace Dr
Naples, FL 34103-2305
Phone
(239) 649-2222
Fax
(239) 649-0522
NPI assigned
Jan 31, 2008
Last updated
Jan 31, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT21237 FL
Physical Therapist 225100000X PT18228 CA
Physical Therapist 225100000X 1094035 TX
Physical Therapist 225100000X 853PT MT Primary
Physical Therapist 225100000X 007362 CT

Addresses

Primary practice location

999 Trail Terrace Dr
Naples, FL 34103-2305

Mailing address

999 Trail Terrace Dr
Naples, FL 34103-2305
Phone (239) 649-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
007362CTMDClinical Social Worker
PT18228CAMDPhysical Therapist
PT21237FLMDPhysical Therapist
853PTMTMDPhysical Therapist
1094035TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BMJ Therapy, LLC Past Accepting new patients
Water Works Aquatic Physical Therapy Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1346428471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 TRAIL TERRACE DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032305",
            "telephone_number": "239-649-2222",
            "fax_number": "239-649-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 TRAIL TERRACE DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032305",
            "telephone_number": "239-649-2222",
            "fax_number": "239-649-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21237",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT18228",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1094035",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "853PT",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.