Active NPI
Danny Patrick Stepp, MPT
- Pediatric Physical Therapist
- Ozark, AR
National Provider Identifier
1407900665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT2519
- Practice address
- 14244 Watalula Rd
Ozark, AR 72949-9269 - Phone
- (479) 209-3616
- Fax
- (479) 667-2706
- NPI assigned
- Jan 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2519 | AR | |
| Pediatric Physical Therapist | 2251P0200X | PT2519 | AR | Primary |
Addresses
Primary practice location
14244 Watalula Rd
Ozark, AR 72949-9269
Mailing address
14244 Watalula Rd
Ozark, AR 72949-9269
Phone (479) 209-3616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142664721 | Medicaid | AR | |
| 5V891F466 | Other | AR | MEDICARE PTAN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2519 | AR | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Valley Rehab Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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
- Ozark, AR
- NPI 1780919274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1407900665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14244 WATALULA RD",
"city": "OZARK",
"state": "AR",
"postal_code": "729499269",
"telephone_number": "479-209-3616",
"fax_number": "479-667-2706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14244 WATALULA RD",
"city": "OZARK",
"state": "AR",
"postal_code": "729499269",
"telephone_number": "479-209-3616",
"fax_number": "479-667-2706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPP",
"first_name": "DANNY",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT2519",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AR",
"license": "PT2519",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142664721",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "5V891F466",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ozark, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.