Stephen C Beverley

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

1310 N Main St Ste 100
Sandwich, IL 60548-1394

Phone

(815) 786-6000

Fax

(815) 786-3603

NPI assigned

Aug 23, 2010

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Water and Sports Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
  • NPI 1588085625
  NPD (past)

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912213489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 ABERDEEN CT",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783175",
            "telephone_number": "815-758-0000",
            "fax_number": "815-758-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N MAIN ST STE 100",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481394",
            "telephone_number": "815-786-6000",
            "fax_number": "815-786-3603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2128 Midlands Ct",
            "address_purpose": "LOCATION",
            "city": "Sycamore",
            "state": "IL",
            "postal_code": "601783199",
            "country_code": "US",
            "telephone_number": "815-758-0000",
            "fax_number": "815-758-0094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVERLEY",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Barnette, PTA
• Ankur Rishi Behl, M.D.
• Laura Bell, RBT
• Ben Gordon Center
• Kathleen Marie Berry, LCSW
• Jessica Birchall, OTR/L
• Brandi Kristen Boan, PSYD
• Martin Paul Brauweiler, M.D.
• Austin Breunig
• Sandra Brinegar, RPH

• Orthopedic Physical Therapist in Sandwich, IL
• Providers in Sandwich, IL by specialty
• Orthopedic Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.