Individual provider Active NPI

Stephanie P Larry, P.T.

  • Physical Therapist
  • Sugar Land, TX
National Provider Identifier
1740445584
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1029593 Issued in TX
Practice address
7023 Kayleigh CT
Sugar Land, TX 77479-5534
Phone
(281) 265-1705
Fax
(281) 265-0848
NPI assigned
Jul 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1029593 TX Primary

Addresses

Primary practice location

7023 Kayleigh CT
Sugar Land, TX 77479-5534

Mailing address

7023 Kayleigh CT
Sugar Land, TX 77479-5534
Phone (281) 265-1705

Other identifiers 1

IdentifierTypeStateIssuer
1848370MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040122000058 TX Practitioner - Physical Therapist in Private Practice 5597665737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7023 Kayleigh CT
Sugar Land, TX 77479-5534
Phone (281) 265-1705

7023 Kayleigh CT a
Sugar Land, TX 77479-5534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Temporaray Personnel of Houston Physical Therapist CurrentSince Mar 1, 1984 Accepting new patients
Houston Southwest Physical Therapy Past Accepting new patients

Locations

9100 Southwest Fwy
Houston, TX 77074
Phone (713) 988-6911

9100 Southwest Fwy
Ste 211
Houston, TX 77074
Phone (713) 988-6911

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1740445584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7023 KAYLEIGH CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795534",
            "telephone_number": "281-265-1705",
            "fax_number": "281-265-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7023 KAYLEIGH CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795534",
            "telephone_number": "281-265-1705",
            "fax_number": "281-265-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRY",
        "first_name": "STEPHANIE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1029593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1848370",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.