Charles Anthony Stevens, DPT

Primary specialty

Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X

License

PT020859 Issued in PA

Practice address

27 Main St
Dallas, PA 18612-1640

Phone

(570) 282-9382

Fax

(570) 227-1891

NPI assigned

Jun 9, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mobile Therapy Services LLC

  • Clinical Electrophysiology Physical Therapist
  • Dallas, PA
  • NPI 1245683648
  Medicare reassignment NPD Authorized official
• Pivot Physical Therapy of Pennsylvania, LLC

  • Physical Therapist
  • South Abington Township, PA
  • NPI 1881132488
  NPD (past)

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1407176761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MAIN ST",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121603",
            "telephone_number": "570-282-9382",
            "fax_number": "570-227-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MAIN ST",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121640",
            "telephone_number": "570-282-9382",
            "fax_number": "570-227-1891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "542 Boulevard Ave",
            "address_purpose": "LOCATION",
            "city": "Dickson City",
            "state": "PA",
            "postal_code": "185191750",
            "country_code": "US",
            "telephone_number": "570-489-5010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "CHARLES",
        "middle_name": "ANTHONY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020859",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "PA",
            "license": "PT020859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane R Sprau, DMD
• David Hans Spring, DMD
• Amanda Joy Spurlin
• Lindsay Margaret Stavish, PA-C
• Marisa Stella, MSCCCSLP
• Lindsay Theresa Strong, PA-C
• Susko Therapy LLC
• Sara Elizabeth Swingle, PA-C
• Taylor Tansley
• Tara O'Donnell PSYD & Associates

• Physical Therapist in Dallas, PA
• Providers in Dallas, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.