Active NPI
Stephanie Shafer Diaz, PT
- Orthopedic Physical Therapist
- Pearland, TX
National Provider Identifier
1487787917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1176887
- Practice address
- 8603 Broadway St Ste 101
Pearland, TX 77584-8172 - Phone
- (281) 997-3717
- Fax
- (281) 997-3817
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1176887 | TX | Primary |
Addresses
Primary practice location
8603 Broadway St Ste 101
Pearland, TX 77584-8172
Mailing address
8603 Broadway St Ste 101
Pearland, TX 77584-8172
Phone (281) 997-3717
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 |
|---|---|---|---|
| 1176887 | TX | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Therapy & Health Centers, Inc. | Orthopedic | Past | Accepting new patients |
| Premier Therapy & Health Centers, Inc. | Past | Accepting new patients | |
| Premier Therapy & Health Centers, Inc. | Orthopedic | Past | Accepting new patients |
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.
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- Rehabilitation Clinic/Center
- Ashland, KY
- NPI 1073779377
Orthopedic
-
- Rehabilitation Clinic/Center
- Wheelersburg, OH
- NPI 1144307687
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1487787917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8603 BROADWAY ST STE 101",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848172",
"telephone_number": "281-997-3717",
"fax_number": "281-997-3817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8603 BROADWAY ST STE 101",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848172",
"telephone_number": "281-997-3717",
"fax_number": "281-997-3817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "STEPHANIE",
"middle_name": "SHAFER",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1176887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.