Active NPI
Stevens & Dillinger Physical Therapy Specialists, PLLC
- Physical Therapist
- Midwest City, OK
National Provider Identifier
1932124179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1583
- Legal business name
- STEVENS & DILLINGER PHYSICAL THERAPY SPECIALISTS, PLLC
- Practice address
- 8851 E Reno Ave
Suite 201
Midwest City, OK 73110-7724 - Phone
- (405) 610-7700
- Fax
- (405) 610-7676
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey Clark Stevens, P.T.
- Title
- Physical Therapist
- Phone
- (405) 610-7700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1583 | OK | Primary |
Addresses
Primary practice location
8851 E Reno Ave
Suite 201
Midwest City, OK 73110-7724
Mailing address
PO Box 30708
Midwest City, OK 73140-3708
Phone (405) 610-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG4179 | Other | OK | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8851 E Reno Ave
Ste 201
Midwest City, OK 73110
Phone (405) 610-7700
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Midwest City, OK
- NPI 1629029145
-
- Physical Therapist
- Midwest City, OK
- NPI 1841240025
-
- Physical Therapist
- Mustang, OK
- NPI 1841456928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343260800000",
"number": "1932124179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30708",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731403708",
"telephone_number": "405-610-7700",
"fax_number": "405-610-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8851 E RENO AVE",
"address_2": "SUITE 201",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731107724",
"telephone_number": "405-610-7700",
"fax_number": "405-610-7676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVENS & DILLINGER PHYSICAL THERAPY SPECIALISTS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2012-07-26",
"status": "A",
"authorized_official_last_name": "STEVENS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "CLARK",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "405-610-7700",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "OK",
"license": "1583",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DG4179",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.