Traci Steuber, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3016 W Main St Ste 200
Russellville, AR 72801-2453

Phone

(479) 967-9657

NPI assigned

Oct 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lane Physical Therapy Center, IncGroup PAC ID 1456246818, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Lane Physical Therapy Center, Inc

  • Physical Therapist
  • Russellville, AR
  • NPI 1104855261
  Medicare reassignment Care Compare group NPD
• Trilogy Therapy Services, Inc

  • Rehabilitation Clinic/Center
  • Dover, AR
  • NPI 1740297340
  NPD (past)

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1689215113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8952 MARKET ST STE 7B",
            "city": "DOVER",
            "state": "AR",
            "postal_code": "728379110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 W MAIN ST STE 200",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012453",
            "telephone_number": "479-967-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEUBER",
        "first_name": "TRACI",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Manor Care Center Inc (Stella Manor Nursing and Rehabilitation Center)
• Stephen M. Killingsworth, MD, PA
• Nichole Stephens, MHPP
• Rylee Stephens
• Sarah Stephens
• Beth Stevens, LPC
• Erin Samantha Steward, P.T., D.P.T.
• Priscilla Faith Stiles, M.S.
• Whitney Beth Stillwell, PT, DPT
• Gerald A Stolz Jr., MD

• Physical Therapist in Russellville, AR
• Providers in Russellville, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.