Individual provider Active NPI

Lendell Richard Stephenson, PT

  • Physical Therapist
  • Carson City, NV
National Provider Identifier
1831140805
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0698 Issued in NV
Practice address
2874 N Carson St
Suite 100
Carson City, NV 89706-0177
Phone
(775) 883-4161
NPI assigned
May 15, 2006
Last updated
Nov 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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 0698 NV Primary

Addresses

Primary practice location

2874 N Carson St
Suite 100
Carson City, NV 89706-0177

Mailing address

2874 N Carson St
Suite 100
Carson City, NV 89706-0177
Phone (775) 883-4161

Other names 1

  • L. Richard Stephenson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040426001774 CA Practitioner - Physical Therapist in Private Practice 7911993654 Reassigns benefits to 1 organization
I20080109000770 NV Practitioner - Physical Therapist in Private Practice 7911993654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Desert Therapists, IncGroup PAC ID 9436145166, 4 clinicians

Practice addresses (Care Compare)

2205 Glendale Ave
Suite 129
Sparks, NV 89431-5587
Phone (775) 284-2984

5 Pine Cone Rd
Suite 100
Dayton, NV 89403-6309
Phone (775) 246-7742

896 W Nye LN
Suite 101
Carson City, NV 89703-1567
Phone (775) 883-4161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0698NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Therapists, Inc Physical Therapist Current Accepting new patients
High Desert Therapists, Inc Physical Therapist CurrentSince Nov 9, 2009 Accepting new patients
High Desert Therapists, Inc Physical Therapist CurrentSince Nov 9, 2009 Accepting new patients

Locations

60 Penny Ln
Watsonville, CA 95076
Phone (831) 786-9000

2874 N Carson St
Ste 100
Carson City, NV 89706
Phone (775) 883-4161

844 W Nye Ln
Ste 102
Carson City, NV 89703
Phone (775) 883-4161

896 W Nye Ln
Ste 101
Carson City, NV 89703
Phone (775) 883-4161

5 Pine Cone Rd
Dayton, NV 89403
Phone (775) 246-7742

5 Pine Cone Rd
Ste 100
Dayton, NV 89403
Phone (775) 246-7742

4790 Caughlin Pkwy
Reno, NV 89519
Phone (775) 348-9798

2205 Glendale Ave
Ste 129
Sparks, NV 89431
Phone (775) 284-2984

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1831140805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2874 N CARSON ST",
            "address_2": "SUITE 100",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060177",
            "telephone_number": "775-883-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2874 N CARSON ST",
            "address_2": "SUITE 100",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060177",
            "telephone_number": "775-883-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "LENDELL",
        "middle_name": "RICHARD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "0698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "L. RICHARD",
            "last_name": "STEPHENSON",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.