Individual provider Active NPI

Stephanie Pham, PT, DPT

  • Physical Therapist
  • North Richland Hills, TX
National Provider Identifier
1538907175
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5121 Rufe Snow Dr Ste 110
North Richland Hills, TX 76180-6021
Phone
(817) 345-4367
NPI assigned
Jul 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X SC Primary
Physical Therapist 225100000X

Addresses

Primary practice location

5121 Rufe Snow Dr Ste 110
North Richland Hills, TX 76180-6021

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

315 Medical Pkwy Ste 150
Greer, SC 29650-2456
Phone (864) 695-1418

Other practice location 2

713 W Wade Hampton Blvd
Greer, SC 29650-1307
Phone (864) 479-6084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241009000233 SC Practitioner - Physical Therapist in Private Practice 0547791956 Reassigns benefits to 1 organization
I20260209001203 TX Practitioner - Physical Therapist in Private Practice 0547791956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians

Practice addresses (Care Compare)

713 W Wade Hampton Blvd
Greer, SC 29650-1307
Phone (864) 479-6084

861 N Tarrant Pkwy
Unit 100
Keller, TX 76248-6601
Phone (817) 918-2480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Jan 23, 2026 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Jan 23, 2026 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Jul 29, 2024 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

2400 N Pleasantburg Dr
Ste D
Greenville, SC 29609
Phone (864) 268-9040

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

713 W Wade Hampton Blvd
Greer, SC 29650
Phone (864) 479-6084

315 Medical Pkwy
Ste 150
Greer, SC 29650
Phone (864) 695-1418

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

2002 W Grand Pkwy N
Ste 125
Katy, TX 77449
Phone (281) 710-9001

861 North Tarrant Pkwy
Unit 100
Keller, TX 76248
Phone (817) 918-2480

5121 Rufe Snow Dr
Ste 110
North Richland Hills, TX 76180
Phone (817) 345-4367

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

Organizations & group practices 4

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": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1538907175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 RUFE SNOW DR STE 110",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806021",
            "telephone_number": "817-345-4367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Medical Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296502456",
            "country_code": "US",
            "telephone_number": "864-695-1418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713 W Wade Hampton Blvd",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296501307",
            "country_code": "US",
            "telephone_number": "864-479-6084",
            "fax_number": "864-479-6091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "STEPHANIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.