Step Up Physical Therapy & Rehabilitation, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10461 Issued in FL

Legal business name

STEP UP PHYSICAL THERAPY & REHABILITATION, INC

Practice address

14866 Tamiami Trail
Suite A204
North Port, FL 34287

Phone

(941) 423-7705

Fax

(941) 423-7712

NPI assigned

Nov 24, 2006

Last updated

Nov 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Geraldine G Malvas, RPT

Title

Ceo

Phone

(941) 423-7705

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Geraldine Grace Cendana-Malvas, RPT

  • Physical Therapist
  • North Port, FL
  • NPI 1144409855
  Medicare reassignment NPD
• Aimee Kiddy, PTA

  • Physical Therapy Assistant
  • North Port, FL
  • NPI 1205185972
  NPD (past)
• Diana Marrero, P.T.A.

  • Physical Therapist
  • North Port, FL
  • NPI 1790184281

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1912073875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14866 TAMIAMI TRAIL",
            "address_2": "SUITE A204",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "34287",
            "telephone_number": "941-423-7705",
            "fax_number": "941-423-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14866 TAMIAMI TRAIL",
            "address_2": "SUITE A204",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "34287",
            "telephone_number": "941-423-7705",
            "fax_number": "941-423-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP UP PHYSICAL THERAPY & REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "MALVAS",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-423-7705",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y052Q",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Gill DO
• Stephanie Stacey, M.A.CCC-SLP
• Kynnedy Anneliese Stachura
• Matthew Stackel
• Emma Steinauer
• Hannah Stesney
• Stephanie Nicole Stevens, PHARMD
• Kendra Steward, MHS CCC-SLP
• Still Rivers Counseling LLC
• Naomi M Stiwich, COTA/L

• Physical Therapist in North Port, FL
• Providers in North Port, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.