Stephen Stashevsky, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

99093951A Issued in IN

Practice address

6589 Aster Dr
Pendleton, IN 46064-1367

Phone

(317) 376-0788

NPI assigned

May 27, 2021

Sex

Male

Sole proprietor

No

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 IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Merrillville, IN
  • NPI 1053833657
  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1821663253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6589 ASTER DR",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460641367",
            "telephone_number": "317-376-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6589 ASTER DR",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460641367",
            "telephone_number": "317-376-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASHEVSKY",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "99093951A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Spencer, ED.D.
• Payton Spoor
• Nico Q Squadroni, LCSW
• St. Vincent Medical Group, Inc.
• St.Vincent Home Health-Anderson, LLC
• Stately Construction LLC
• John Andrew Steel, PTA
• Nathan James Stephens, MD
• Tallant Counseling Services
• Anna Marie Tallant, LMHC NCACII

• Physical Therapist in Pendleton, IN
• Providers in Pendleton, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.