Stevenson Physical Therapy, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

PT0002829 Issued in FL

Legal business name

STEVENSON PHYSICAL THERAPY, INC.

Doing business as

Stevenson & Associates Physical Therapy

Practice address

15620 McGregor Blvd
Suite 115
Fort Myers, FL 33908-2528

Phone

(239) 454-6262

Fax

(239) 454-0350

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Eric Wayne Stevenson, PT

Title

President/Owner

Phone

(239) 454-6262

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Stevenson & Associates Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1548266836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15620 MCGREGOR BLVD",
            "address_2": "SUITE 115",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082528",
            "telephone_number": "239-454-6262",
            "fax_number": "239-454-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15620 MCGREGOR BLVD",
            "address_2": "SUITE 115",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082528",
            "telephone_number": "239-454-6262",
            "fax_number": "239-454-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENSON PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "239-454-6262",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "PT0002829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "3310940-001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0816278",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "R4X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stevenson & Associates Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Stevens, PTA
• Shayna M. Stevens, OTR/L
• Teresa Fernandez Stevens, M.D.
• Timothy Stevens
• Stevenson Physical Therapy, Inc. (Stevenson & Associates Physical Therapy)
• Elizabeth Stevenson
• Eric W Stevenson, PT
• Leah Stevenson, OTR/L
• Cynthia Stewart, APRN, CNM
• Karen Stewart, PT

• Rehabilitation Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.