Organization Active NPI

Stevenson Physical Therapy, Inc.

Doing business as Stevenson & Associates Physical Therapy

  • Rehabilitation Clinic/Center
  • Cape Coral, FL
National Provider Identifier
1568468858
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
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
2517 Santa Barbara Blvd
Unit 1
Cape Coral, FL 33914-4496
Phone
(239) 458-6600
Fax
(239) 458-6601
NPI assigned
Jun 22, 2005
Last updated
Jan 19, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
STEVENSON PHYSICAL THERAPY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Mr. Eric Wayne Stevenson, PTNPI 1497872071
Title
President/Owner
Phone
(239) 458-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X PT0002829 FL Primary

Addresses

Primary practice location

2517 Santa Barbara Blvd
Unit 1
Cape Coral, FL 33914-4496

Mailing address

2517 Santa Barbara Blvd
Unit 1
Cape Coral, FL 33914-4496
Phone (239) 458-6600

Other names 1

  • Stevenson & Associates Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Part of
Stevenson Phys Therapy

Locations

2517 Santa Barbara Blvd
Ste 1
Cape Coral, FL 33914
Phone (239) 458-6600

15620 McGregor Blvd
Ste D
Fort Myers, FL 33908
Phone (239) 454-6262

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1568468858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 SANTA BARBARA BLVD",
            "address_2": "UNIT 1",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339144496",
            "telephone_number": "239-458-6600",
            "fax_number": "239-458-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 SANTA BARBARA BLVD",
            "address_2": "UNIT 1",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339144496",
            "telephone_number": "239-458-6600",
            "fax_number": "239-458-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENSON PHYSICAL THERAPY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEVENSON PHYSICAL THERAPY, INC.",
        "enumeration_date": "2005-06-22",
        "last_updated": "2011-01-19",
        "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": "239-458-6600",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stevenson & Associates Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.