Active NPI
Michael Burton Stephens, P.T.
- Physical Therapist
- Jupiter, FL
National Provider Identifier
1477764561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13600
- Practice address
- Jupiter Medical Center 1210 South Old Dixie Highway
Jupiter, FL 33458 - Phone
- (561) 745-5770
- Fax
- (561) 745-5776
- NPI assigned
- May 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13600 | FL | Primary |
Addresses
Primary practice location
Jupiter Medical Center 1210 South Old Dixie Highway
Jupiter, FL 33458
Mailing address
6206 Riverwalk LN Unit 6
Jupiter, FL 33458-7907
Phone (561) 339-1860
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 |
|---|---|---|---|
| 13600 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477764561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6206 RIVERWALK LN UNIT 6",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587907",
"telephone_number": "561-339-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JUPITER MEDICAL CENTER 1210 SOUTH OLD DIXIE HIGHWAY",
"city": "JUPITER",
"state": "FL",
"postal_code": "33458",
"telephone_number": "561-745-5770",
"fax_number": "561-745-5776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "MICHAEL",
"middle_name": "BURTON",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "13600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.