Individual provider Active NPI

Steven Islas, PT, DPT, SCS

  • Sports Physical Therapist
  • Houston, TX
National Provider Identifier
1992355622
Registry record updated Jun 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
1307872 Issued in TX
Practice address
1111 Rusk St Apt 616
Houston, TX 77002-3438
Phone
(432) 935-3749
NPI assigned
Sep 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 1307872 TX Primary

Addresses

Primary practice location

1111 Rusk St Apt 616
Houston, TX 77002-3438

Mailing address

1111 Rusk St Apt 616
Houston, TX 77002-3438
Phone (432) 935-3749

Other practice location 1

2700 W Sam Houston Pkwy N
Houston, TX 77043-1608
Phone (432) 935-3749

Other practice location 2

7171 Buffalo Speedway Apt 921
Houston, TX 77025-1430
Phone (432) 935-3749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240130000807 TX Practitioner - Physical Therapist in Private Practice 8224481098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20230 Cypress Rosehill Rd
Unit 4
Tomball, TX 77377-5942
Phone (713) 367-1260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1307872TXMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Sports Therapy Sports CurrentSince Dec 12, 2023 Accepting new patients

Locations

28610 Highway 290
Ste F9329
Cypress, TX 77433

2700 W Sam Houston Pkwy N
Houston, TX 77043
Phone (432) 935-3749

20230 Cypress Rosehill Rd
Unit 4
Tomball, TX 77377
Phone (713) 367-1260

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1992355622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 RUSK ST APT 616",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770023438",
            "telephone_number": "432-935-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 RUSK ST APT 616",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770023438",
            "telephone_number": "432-935-3749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 W Sam Houston Pkwy N",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770431608",
            "country_code": "US",
            "telephone_number": "432-935-3749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7171 Buffalo Speedway Apt 921",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770251430",
            "country_code": "US",
            "telephone_number": "432-935-3749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISLAS",
        "first_name": "STEVEN",
        "credential": "PT, DPT, SCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-15",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1307872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.