Active NPI
Stephanie Allison Wasko, PT
- Physical Therapist
- Pearland, TX
National Provider Identifier
1386680544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1165748
- Practice address
- 2637 Lazy Bend St
Suite 101
Pearland, TX 77581-1006 - Phone
- (281) 485-4144
- Fax
- (281) 485-4196
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1165748 | TX | Primary |
Addresses
Primary practice location
2637 Lazy Bend St
Suite 101
Pearland, TX 77581-1006
Mailing address
3707 Gazelle LN
Pearland, TX 77584-9291
Phone (713) 906-1029
Other names 1
- Stephanie Allison Loudat
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1386680544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3707 GAZELLE LN",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775849291",
"telephone_number": "713-906-1029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2637 LAZY BEND ST",
"address_2": "SUITE 101",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775811006",
"telephone_number": "281-485-4144",
"fax_number": "281-485-4196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASKO",
"first_name": "STEPHANIE",
"middle_name": "ALLISON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1165748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "LOUDAT",
"middle_name": "ALLISON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.