Individual provider Active NPI

Walter L Stowe, PT

  • Specialist
  • Huntsville, TX
National Provider Identifier
1790788362
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1091130 Issued in TX
Practice address
127 Medical Park LN
Huntsville, TX 77340-4972
Phone
(936) 294-0283
Fax
(936) 294-9878
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1091130 TX Primary

Addresses

Primary practice location

127 Medical Park LN
Huntsville, TX 77340-4972

Mailing address

127 Medical Park LN
Huntsville, TX 77340-4972
Phone (936) 294-0283

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050111000198 TX Practitioner - Physical Therapist in Private Practice 2567425911 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1091130TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Texas Limited Partnership CurrentSince Mar 1, 2023 Accepting new patients
Theraworks Inc Current Accepting new patients
Theraworks Inc CurrentSince Mar 1, 2023 Accepting new patients
Select Physical Therapy Texas Limited Partnership CurrentSince Mar 1, 2023 Accepting new patients
Wilco Theranet, LLC Specialist PastSince May 1, 2025 Accepting new patients
Physical Therapy Associates Specialist Past Accepting new patients
Select Physical Therapy Texas Limited Partnership Past Accepting new patients

Locations

3050 Dowlen Rd
Ste L
Beaumont, TX 77706
Phone (409) 861-4606

5514 Atascocita Rd
Humble, TX 77346
Phone (281) 441-5371

605 Rockmead Dr
Ste 200
Kingwood, TX 77339
Phone (281) 348-9588

4899 Highway 6
Ste 212C
Missouri City, TX 77459
Phone (346) 371-2121

2306 Rayford Rd
Ste 300
Spring, TX 77386
Phone (281) 863-9944

711 W Bay Area Blvd
Ste 608
Webster, TX 77598
Phone (281) 338-1273

Organizations & group practices 7

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1790788362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MEDICAL PARK LN",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404972",
            "telephone_number": "936-294-0283",
            "fax_number": "936-294-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MEDICAL PARK LN",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404972",
            "telephone_number": "936-294-0283",
            "fax_number": "936-294-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOWE",
        "first_name": "WALTER",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1091130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.