Active NPI
Stephen Louis Rieder, PT, DPT
- Physical Therapist
- Fort Worth, TX
National Provider Identifier
1407204779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1275075
- Practice address
- 1651 W Rosedale Street, Suite 200
Fort Worth, TX 76104-7437 - Phone
- (817) 810-0001
- Fax
- (817) 810-0054
- NPI assigned
- May 27, 2016
- Sex
- Male
- 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 | 1275075 | TX | Primary |
Addresses
Primary practice location
1651 W Rosedale Street, Suite 200
Fort Worth, TX 76104-7437
Mailing address
P.O. Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2540 Justin Rd
Suite 179
Highland Village, TX 75077-3137
Phone (972) 737-1065
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1275075 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triumph Physical Therapy & Wellness Center PLLC | Physical Therapist | Current | Accepting new patients |
| Vista Rehab Partners LP | Physical Therapist | Past | Accepting new patients |
Locations
2540 Justin Rd
Ste 179
Lewisville, TX 75077
Phone (972) 737-1065
Organizations & group practices 3
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.
-
- Physical Therapist
- Highland Village, TX
- NPI 1477290534
-
- Multi-Specialty Clinic/Center
- Lake Worth, TX
- NPI 1326753377
-
- Physical Therapist
- Melissa, TX
- NPI 1770259293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1407204779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 961205",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761611205",
"telephone_number": "817-740-8400",
"fax_number": "817-378-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 W ROSEDALE STREET, SUITE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761047437",
"telephone_number": "817-810-0001",
"fax_number": "817-810-0054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEDER",
"first_name": "STEPHEN",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-27",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1275075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.