Active NPI
Eric Stout, PT, MS, CSCS
- Physical Therapist
- Frisco, TX
National Provider Identifier
1760772644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1171763
- Practice address
- 279 Main St
Suite 114
Frisco, TX 75034-4306 - Phone
- (214) 494-4643
- Fax
- (214) 494-4654
- NPI assigned
- Apr 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1171763 | TX | Primary |
Addresses
Primary practice location
279 Main St
Suite 114
Frisco, TX 75034-4306
Mailing address
279 Main St
Suite 114
Frisco, TX 75034-4306
Phone (214) 494-4643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grandcare Home Health, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Plano, TX
- NPI 1962643726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1760772644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 MAIN ST",
"address_2": "SUITE 114",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344306",
"telephone_number": "214-494-4643",
"fax_number": "214-494-4654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 MAIN ST",
"address_2": "SUITE 114",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344306",
"telephone_number": "214-494-4643",
"fax_number": "214-494-4654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUT",
"first_name": "ERIC",
"credential": "PT, MS, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-13",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1171763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.