Individual provider Active NPI

Stephanie Alsup, P.T.

  • Physical Therapist
  • Del Rio, TX
National Provider Identifier
1972550663
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1078137 Issued in TX
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
108043403MedicaidTX
P00037844OtherTXRAILROAD MEDICARE NUMBER
86878TOtherTXBLUE 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

LicenseStateTypeSpecialty
1078137TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Physical Therapy TX LLC Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients
DPT Holdings, LLC Physical Therapist PastSince Sep 1, 2025 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.

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.

Verify at the official NPI Registry.