Jeffrey Clark Stevens, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1583 Issued in OK

Practice address

201 Harroz LN
Midwest City, OK 73110-7722

Phone

(405) 610-7700

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Skip Stevens Other name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Oklahoma College of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stevens and Dillinger Physical Therapy Specialists PLLCGroup PAC ID 3971506981, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stevens & Dillinger Physical Therapy Specialists, PLLC

  • Physical Therapist
  • Midwest City, OK
  • NPI 1932124179
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1629029145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30708",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731403708",
            "telephone_number": "405-610-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HARROZ LN",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731107722",
            "telephone_number": "405-610-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JEFFREY",
        "middle_name": "CLARK",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT1583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00434601",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SKIP",
            "last_name": "STEVENS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cassi L Stephens, RBT
• Holly Stephens
• Steven M. Raney, DDS, Ms, PC
• Stevens & Dillinger Physical Therapy Specialists, PLLC
• Courtney Stevens
• Qualls E Stevens, DO
• Nashuna K Steward
• Haley Stewart
• Jennifer Brooke Stewart, M.D.
• Nichelle Stewart

• Physical Therapist in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.