Individual provider Active NPI

Stephanie Ann Calabrese, PT

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1386031771
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1080794 Issued in TX
Practice address
3401 Premier Dr
Plano, TX 75023
Phone
(972) 795-7515
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1080794 TX Primary

Addresses

Primary practice location

3401 Premier Dr
Plano, TX 75023

Mailing address

3401 Premier Dr
Plano, TX 75023-7087
Phone (972) 795-7515

Other practice location 1

1350 E Lookout Dr
Richardson, TX 75082-4106
Phone (972) 220-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL stephanie.calabrese@genesishcc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525003147 TX Practitioner - Physical Therapist in Private Practice 6406146802 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

600 W Arapaho Rd
Richardson, TX 75080-4423
Phone (469) 712-8148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1080794TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Physical Therapist CurrentSince Jul 5, 2023 Accepting new patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Jul 5, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

8100 Precinct Line Rd
Colleyville, TX 76034
Phone (682) 244-4317

800 Whitley Rd
Keller, TX 76248
Phone (817) 357-7181

265 Plateau Dr
McKinney, TX 75069
Phone (512) 277-6405

700 E State Highway 114
Southlake, TX 76092
Phone (682) 305-0657

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1386031771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 PREMIER DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750237087",
            "telephone_number": "972-795-7515",
            "fax_number": "972-503-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 PREMIER DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75023",
            "telephone_number": "972-795-7515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 E Lookout Dr",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750824106",
            "country_code": "US",
            "telephone_number": "972-220-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALABRESE",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1080794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "stephanie.calabrese@genesishcc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3401 Premier Dr",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750237087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.