Individual provider Active NPI

Casey Steven Stephens, P.T.

  • Physical Therapist
  • Grand Prairie, TX
National Provider Identifier
1376821827
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1136380 Issued in TX
Practice address
1517 W North Carrier Pkwy
Suite110
Grand Prairie, TX 75050-1288
Phone
(972) 206-7345
Fax
(972) 522-0103
NPI assigned
Aug 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1136380 TX Primary
Other Technician 247200000X

Addresses

Primary practice location

1517 W North Carrier Pkwy
Suite110
Grand Prairie, TX 75050-1288

Mailing address

1517 W North Carrier Pkwy
Suite110
Grand Prairie, TX 75050-1288
Phone (972) 206-7345

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
1136380TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1376821827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 W NORTH CARRIER PKWY",
            "address_2": "SUITE110",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501288",
            "telephone_number": "972-206-7345",
            "fax_number": "972-522-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 W NORTH CARRIER PKWY",
            "address_2": "SUITE110",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501288",
            "telephone_number": "972-206-7345",
            "fax_number": "972-522-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "CASEY",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-02",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1136380",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.