NPIMap

Organization Active NPI

David Stevenson Physical Therapy Inc.

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1659359511
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4117 Issued in FL
Legal business name
DAVID STEVENSON PHYSICAL THERAPY INC.
Practice address
2055 Wood St Ste 110
Sarasota, FL 34237-7928
Phone
(941) 330-1677
Fax
(941) 330-1688
NPI assigned
Jan 2, 2006
Last updated
Sep 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
David B. Stevenson, PTNPI 1740268564
Title
Owner President
Phone
(941) 330-1677

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4117 FL Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

2055 Wood St Ste 110
Sarasota, FL 34237-7928

Mailing address

2055 Wood St Ste 110
Sarasota, FL 34237-7928
Phone (941) 330-1677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140902000124 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7911890488 Receives reassigned benefits from 6 practitioners
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

2055 Wood St
Ste 110
Sarasota, FL 34237
Phone (941) 330-1677

777 S Palm Ave
Unit 10
Sarasota, FL 34236
Phone (941) 330-1677

Practitioners & affiliated clinicians

Practitioners 11

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": "1136160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1659359511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 WOOD ST STE 110",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342377928",
            "telephone_number": "941-330-1677",
            "fax_number": "941-330-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 WOOD ST STE 110",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342377928",
            "telephone_number": "941-330-1677",
            "fax_number": "941-330-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID STEVENSON PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-02",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "941-330-1677",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT4117",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.