Stephen Tutt
Individual provider Active NPI Occupational Therapist · Flower Mound, TX
NPI 1356987614 · NPPES record last updated Nov 21, 2019
Key facts
- NPI
- 1356987614
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 119309 (TX)
- Practice address
- 3100 Peters Colony Rd
Flower Mound, TX 75022-2949 - Phone
- (214) 513-0333
- NPI assigned
- Nov 21, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Matt Bonander LLC
Practice addresses (Care Compare)
4118 Herdsman Dr
Krum, TX 76249-1556
Phone (940) 535-8105
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191220000654 | TX | Practitioner - Occupational Therapist in Private Practice | 3779917935 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matt Bonander LLC | Occupational Therapist | Current |
Accepting new patients |
| Icare Rehab, LLC | Current |
Accepting new patients |
Locations
650 Parker Sq
Flower Mound, TX 75028
Phone (214) 513-0333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 119309 | TX | Yes |
Addresses
Primary practice location
3100 Peters Colony Rd
Flower Mound, TX 75022-2949
Mailing address
207 Coronado Dr Apt 105
Denton, TX 76209-0945
Phone (940) 218-4573
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | stephen.tutt@icarehospital.com | Direct |
Other providers in Flower Mound, TX
- Sophia Isela Lugo Trujillo
- Trusted Life Care, Inc.
- Mark E Tuggle
- Jessica Turley
- Turners Martial Arts Studios LLC
- Twin Eagle Home Care Services LLC
- TX Digestive Disease Consultants
- Uber Surgical Assist LLC
- United Dermatology Associates of Flower Mound, PLLC
- United Physicians Group PLLC
All providers in Flower Mound, TX · Occupational 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 Nov 21, 2019. 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.