Individual provider Active NPI

Eric W Stevenson, PT

  • Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1497872071
Registry record updated Jul 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2829 Issued in FL
Practice address
15620 McGregor Blvd
Suite D
Fort Myers, FL 33908-2528
Phone
(239) 454-6262
Fax
(239) 454-0350
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2829 FL Primary

Addresses

Primary practice location

15620 McGregor Blvd
Suite D
Fort Myers, FL 33908-2528

Mailing address

25241 Elementary Way Ste 200
Bonita Springs, FL 34135-7883
Phone (239) 949-2855

Other identifiers 1

IdentifierTypeStateIssuer
PT2829OtherFLPHYSICAL THERAPIST LICENS

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fyzbiz, LLC Physical Therapist CurrentSince Aug 1, 2017 Accepting new patients
Stevenson Physical Therapy, Inc. PastSince Jan 1, 2009 Accepting new patients

Locations

25241 Elementary Way
Ste 200
Bonita Springs, FL 34135
Phone (239) 947-4184

18070 S Tamiami Trl
Ste 15
Fort Myers, FL 33908
Phone (239) 344-4448

13010 Metro Pkwy
Fort Myers, FL 33966
Phone (239) 561-1177

12250 Tamiami Trl E
Ste 102
Naples, FL 34113
Phone (239) 417-0027

18900 N Tamiami Trl
Ste A5
North Ft Myers, FL 33903
Phone (239) 451-4922

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1497872071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25241 ELEMENTARY WAY STE 200",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357883",
            "telephone_number": "239-949-2855",
            "fax_number": "239-947-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15620 MCGREGOR BLVD",
            "address_2": "SUITE D",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082528",
            "telephone_number": "239-454-6262",
            "fax_number": "239-454-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "ERIC",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT2829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENS",
            "identifier": "PT2829",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.