Active NPI
Stephanie Alsup, P.T.
- Physical Therapist
- Del Rio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1078137
- Practice address
- 1308 N Bedell Ave
Del Rio, TX 78840-7818 - Phone
- (830) 774-1556
- Fax
- (830) 774-6150
- NPI assigned
- May 28, 2006
- Last updated
- Oct 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1078137 | TX | Primary |
Addresses
Primary practice location
1308 N Bedell Ave
Del Rio, TX 78840-7818
Mailing address
1308 N Bedell Ave
Del Rio, TX 78840
Phone (830) 774-1556
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108043403 | Medicaid | TX | |
| P00037844 | Other | TX | RAILROAD MEDICARE NUMBER |
| 86878T | Other | TX | BLUE CROSS ID NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1078137 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower Physical Therapy TX LLC | Physical Therapist | Current | Accepting new patients |
| DPT Holdings, LLC | Physical Therapist | Past | Accepting new patients |
Locations
24014 W Renwick Rd
Ste 206
Plainfield, IL 60544
5718 Spohn Dr
Ste 200
Corpus Christi, TX 78414
Phone (361) 906-2062
1308 N Bedell Ave
Del Rio, TX 78840
Phone (830) 768-1818
2720 Western Center Blvd
Ste 312
Fort Worth, TX 76131
Phone (817) 847-0200
5108 McPherson Rd
Ste 3
Laredo, TX 78041
Phone (956) 726-4443
5875 Babcock Rd
San Antonio, TX 78240
Phone (210) 481-7730
Organizations & group practices 3
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.
-
- Specialist
- Del Rio, TX
- NPI 1396730297
-
- Physical Therapist
- North Richland Hills, TX
- NPI 1588205033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350864000000",
"number": "1972550663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 N BEDELL AVE",
"city": "DEL RIO",
"state": "TX",
"postal_code": "78840",
"telephone_number": "830-774-1556",
"fax_number": "830-774-6150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 N BEDELL AVE",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788407818",
"telephone_number": "830-774-1556",
"fax_number": "830-774-6150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALSUP",
"first_name": "STEPHANIE",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-28",
"last_updated": "2012-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1078137",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108043403",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "P00037844",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID NUMBER",
"identifier": "86878T",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Del Rio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.