Individual provider Active NPI

Craig Patrick Stevens, PTA

  • Physical Therapy Assistant
  • Clearwater, FL
National Provider Identifier
1881997153
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA18494 Issued in FL
Practice address
1236 Druid Rd E
Clearwater, FL 33756-4210
Phone
(727) 442-2236
Fax
(727) 442-2646
NPI assigned
Dec 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA18494 FL Primary

Addresses

Primary practice location

1236 Druid Rd E
Clearwater, FL 33756-4210

Mailing address

PO Box 7746
Saint Petersburg, FL 33734-7746
Phone (727) 898-5001

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA18494FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy and Sports Center, Inc. Past Accepting new patients
Therapy & Sports Center, Inc. PastSince Jun 3, 2005 Accepting new patients

Organizations & group practices 2

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": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1881997153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7746",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337347746",
            "telephone_number": "727-898-5001",
            "fax_number": "727-894-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 DRUID RD E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564210",
            "telephone_number": "727-442-2236",
            "fax_number": "727-442-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "CRAIG",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA18494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.