Active NPI
Eric R Stevens, MPT
- Physical Therapist
- Kingwood, TX
National Provider Identifier
1508945379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1247921
- Practice address
- 601 Rockmead Dr
Kingwood, TX 77339-2107 - Phone
- (713) 814-2530
- Fax
- (713) 704-3844
- NPI assigned
- Nov 3, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 04378 | LA | |
| Physical Therapist | 225100000X | 1247921 | TX | Primary |
Addresses
Primary practice location
601 Rockmead Dr
Kingwood, TX 77339-2107
Mailing address
601 Rockmead Dr
Kingwood, TX 77339-2107
Phone (713) 814-2530
Other practice location 1
4533 Kingwood Dr
Kingwood, TX 77345-2608
Phone (832) 658-4310
Other practice location 2
17316 Airline Hwy
Suite O
Prairieville, LA 70769-3377
Phone (225) 677-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212607 | Other | LA | COVENTRY |
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 |
|---|---|---|---|
| 04378 | LA | MD | Specialist |
| 1247921 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1508945379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ROCKMEAD DR",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773392107",
"telephone_number": "713-814-2530",
"fax_number": "713-704-3844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ROCKMEAD DR",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773392107",
"telephone_number": "713-814-2530",
"fax_number": "713-704-3844"
}
],
"practiceLocations": [
{
"address_1": "4533 Kingwood Dr",
"address_purpose": "LOCATION",
"city": "Kingwood",
"state": "TX",
"postal_code": "773452608",
"country_code": "US",
"telephone_number": "832-658-4310",
"fax_number": "713-704-2763",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17316 Airline Hwy",
"address_2": "SUITE O",
"address_purpose": "LOCATION",
"city": "Prairieville",
"state": "LA",
"postal_code": "707693377",
"country_code": "US",
"telephone_number": "225-677-8400",
"fax_number": "225-677-8484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "ERIC",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "04378",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1247921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "212607",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.