STEVENSON PHYSICAL THERAPY, INC. (NPI# 1548266836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548266836 |
| Entity Type | Organization |
| Organization Name | STEVENSON PHYSICAL THERAPY, INC. |
| Other Organization Name | STEVENSON & ASSOCIATES PHYSICAL THERAPY |
| Practice Address |
15620 Mcgregor Blvd Suite 115 Fort Myers FL 33908-2528 |
| Practice Telephone | 2394546262 |
| Practice Fax Number | 2394540350 |
| Mailing Telephone | 2394546262 |
| Mailing Fax Number | 2394540350 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2010-01-11 |
| Authorized Official Name | MR. ERIC WAYNE STEVENSON (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2394546262 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
PT0002829 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA HMO | 3310940-001 | 01 | |
| FL | BCBS OF FL | R4X | 01 |
| FL | AETNA HMO | 0816278 | 01 |
| Other Name | Type Code |
|---|---|
| Stevenson & Associates Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468858 | Stevenson Physical Therapy, Inc. | Clinic/Center | 2517 Santa Barbara Blvd, Unit 1, Cape Coral, FL 33914-4496 | 2005-06-22 |
| 1336445931 | Stevenson Physical Therapy, Inc. | Clinic/Center | 6324 Corporate Ct, Fort Myers, FL 33919-3507 | 2011-01-31 |
| Street Address |
15620 MCGREGOR BLVD SUITE 115 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568815256 | Karen Wilkinson | Dentist | 15620 Mcgregor Blvd, Suite 135, Fort Myers, FL 33908-2528 | 2016-07-18 |
| 1851680573 | David N Gavin Dpm Pa | Podiatrist | 15620 Mcgregor Blvd, Suite 125, Fort Myers, FL 33908-2528 | 2011-04-04 |
| 1033433081 | Daria Valerievna Tchetvergova | Physical Therapist | 15620 Mcgregor Blvd, Suite D, Fort Myers, FL 33908-2528 | 2010-03-19 |
| 1295854693 | Jennifer Morton Fugatt | Physical Therapist | 15620 Mcgregor Blvd, Suite D, Fort Myers, FL 33908-2528 | 2007-03-28 |
| 1497872071 | Eric W Stevenson | Physical Therapist | 15620 Mcgregor Blvd, Suite D, Fort Myers, FL 33908-2528 | 2007-03-26 |
| 1417083825 | Marcia F Timson | Dentist | 15620 Mcgregor Blvd, Suite F, Fort Myers, FL 33908-2528 | 2007-02-27 |
| 1982662201 | Palm Podiatry, LLC | Podiatrist | 15620 Mcgregor Blvd, Suite E, Fort Myers, FL 33908-2528 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346876 | Solaris Rehab, LLC | Clinic/Center | 18301 Trifecta Ln, Fort Myers, FL 33967-3032 | 2020-01-30 |
| 1134696388 | Solaris Rehab, LLC | Clinic/Center | 7650 Gladiolus Dr, Fort Myers, FL 33908-5493 | 2018-10-25 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1427575273 | Cora Health Services Inc | Clinic/Center | 19100 S Tamiami Trl Ste 4, Fort Myers, FL 33908-1011 | 2017-08-23 |
| 1013446178 | Solaris Rehab, LLC | Clinic/Center | 2500 Edwards Dr, Fort Myers, FL 33901-2862 | 2017-06-12 |
| 1669901724 | Solaris Rehab, LLC | Clinic/Center | 15800 Beach Walk Blvd, Fort Myers, FL 33908-3388 | 2017-06-12 |
| 1023547189 | Solaris Rehab, LLC | Clinic/Center | 13720 6 Mile Cypress Pkwy Ste 2, Fort Myers, FL 33912-4425 | 2017-06-12 |
| 1073945309 | Solaris Rehab, LLC | Clinic/Center | 2619 Forum Blvd, Fort Myers, FL 33905-5604 | 2013-08-09 |
| 1487094983 | Jaesen Petretta Inc | Clinic/Center | 12995 S Cleveland Ave Ste 158, Fort Myers, FL 33907-3867 | 2013-06-28 |
| 1093944985 | Evans Chiropractic LLC | Clinic/Center | 3632 Evans Ave, Fort Myers, FL 33901-8314 | 2009-07-13 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.