Individual provider Active NPI

Stephen Leo Venne, P.T.

  • Physical Therapist
  • Sioux City, IA
National Provider Identifier
1831278571
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01713 Issued in IA
Practice address
2802 Castles Gate Dr
Sioux City, IA 51106-7203
Phone
(712) 266-0707
Fax
(712) 266-0709
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2023

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 01713 IA Primary

Addresses

Primary practice location

2802 Castles Gate Dr
Sioux City, IA 51106-7203

Mailing address

2802 Castles Gate Dr
Sioux City, IA 51106-7203
Phone (712) 266-0707

Other identifiers 2

IdentifierTypeStateIssuer
0290494MedicaidIA
43545OtherIABC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100830000606 IA Practitioner - Physical Therapist in Private Practice 3870585235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sioux City Physical Therapy PCGroup PAC ID 8628060084, 2 clinicians

Practice addresses (Care Compare)

2802 Castles Gate Dr
Sioux City, IA 51106-7203
Phone (712) 266-0707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1009NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sioux City Physical Therapy PC Physical Therapist CurrentSince Nov 12, 2001 Accepting new patients

Locations

2802 Castles Gate Dr
Sioux City, IA 51106
Phone (712) 266-0707

3250 Plaza Dr
South Sioux City, NE 68776
Phone (402) 412-4220

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1831278571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 CASTLES GATE DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511067203",
            "telephone_number": "712-266-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 CASTLES GATE DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511067203",
            "telephone_number": "712-266-0707",
            "fax_number": "712-266-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENNE",
        "first_name": "STEPHEN",
        "middle_name": "LEO",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "01713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0290494",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "43545",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.