MISS STEPHANIE PUCEK (NPI# 1295085942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295085942 |
| Entity Type | Individual |
| Full Name | MISS STEPHANIE PUCEK |
| Credential | PT |
| Practice Address |
4423 Shadowdale Dr Houston TX 77041-8718 |
| Practice Telephone | 7134666872 |
| Practice Fax Number | 7134669547 |
| Mailing Telephone | 7134666872 |
| Mailing Fax Number | 7134669547 |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1216440 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4423 SHADOWDALE DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77041-8718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609959741 | Neurodevelopmental Therapy Services | Health Maintenance Organization | 4423 Shadowdale Dr, Houston, TX 77041-8718 | 2006-10-23 |
| 1093374209 | Andrea Cline Lafferty | Occupational Therapist | 4423 Shadowdale Dr, Houston, TX 77041-8718 | 2019-06-11 |
| 1417421546 | Maegan Barin | Occupational Therapist | 4423 Shadowdale Dr, Houston, TX 77041-8718 | 2019-01-11 |
| 1649796814 | Jinu Philip | Occupational Therapist | 4423 Shadowdale Dr, Houston, TX 77041-8718 | 2017-08-18 |
| 1487177069 | Tahira Gibson | Speech-Language Pathologist | 4423 Shadowdale Dr, Houston, TX 77041 | 2017-07-25 |
| 1003369026 | Tina Phe | Speech-Language Pathologist | 4423 Shadowdale Dr, Houston, TX 77041-8718 | 2016-07-26 |
| 1750796850 | Tonia Cabildo | Occupational Therapist | 4423 Shadowdale Dr, Houston, TX 77041-8718 | 2014-06-26 |
| 1174934822 | Jarvis Devaughn | Occupational Therapist | 4423 Shadowdale Dr, Houston, TX 77041-8718 | 2014-05-15 |
| 1427399799 | Calliope Liamis | Occupational Therapist | 4423 Shadowdale Dr, Houston, TX 77041-8718 | 2013-03-11 |
| 1578817946 | Sara Katz | Physical Therapist | 4423 Shadowdale Dr, Houston, TX 77041-8718 | 2012-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774736 | Hinal Patel | Chiropractor | 13040 Fm 529 Rd. Ste. G, Houston, TX 77041 | 2020-03-05 |
| 1740838846 | Krinaben Patel | Occupational Therapy Assistant | 12410 W Little York Rd Apt 814, Houston, TX 77041 | 2019-09-01 |
| 1275024754 | Eriona Brown | Speech-Language Pathologist | 12410 W Little York Rd, Houston, TX 77041 | 2018-05-21 |
| 1710385869 | Shenesia White | Non-emergency Medical Transport (VAN) | 10211 Porto Rico, Houston, TX 77041 | 2014-12-05 |
| 1932503943 | Made Ya Smile Eldridge Lakes | Dentist | 9388 N. Eldridge Parkway, Suite #500, Houston, TX 77041 | 2014-10-20 |
| 1548493539 | Elegant Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 6525w Sam Houston Pky N, Suite A, Houston, TX 77041 | 2009-08-25 |
| 1932343068 | Susannah Joy Lewallen | Speech-Language Pathologist | 13150 Fm 529 Suite 114, Houston, TX 77041 | 2009-04-20 |
| 1508055278 | American Current Care, P.a. | Clinic/Center | 6360 West Sam Houston Parkway North, Suite 200, Houston, TX 77041 | 2007-10-18 |
| 1891999355 | Marie Annette Rhemann Guerrero | Nurse Practitioner | 12302 Angel Shores Lane, Houston, TX 77041 | 2007-06-11 |
| 1053536086 | Primary Health Network of South Texas | Family Medicine | 5630 N. Eldridge Parkway, Suite 350, Houston, TX 77041 | 2007-04-16 |
| Find all providers in zip 77041 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871108019 | Tu Khai Le | Physical Therapist | 13503 Parkstone View Cir, Houston, TX 77083-1820 | 2020-09-14 |
| 1730797838 | Sara Burris | Physical Therapist | 2424 Wilcrest Dr Ste 109, Houston, TX 77042-2761 | 2020-07-15 |
| 1043838204 | Tiffany Ainsworth | Physical Therapist | 5454 Newcastle St Apt 232, Houston, TX 77081-2259 | 2020-07-13 |
| 1205304193 | Sarah Marguerite Finn | Physical Therapist | 1627 Hawthorne St, Houston, TX 77006-3715 | 2018-11-08 |
| 1952879041 | Colleen Rita White | Physical Therapist | 6621 Fannin St Fl Pm&r21, Houston, TX 77030-2399 | 2018-11-06 |
| 1689123598 | Twinkle Tykes Therapy | Physical Therapist | 7703 Misty Fern Ct, Houston, TX 77095-4450 | 2016-10-04 |
| 1235687674 | Elizabeth Brooke Avant | Physical Therapist | 5206 Airline Drive, Houston, TX 77022 | 2016-09-14 |
| 1558774505 | Lyndsay Green | Physical Therapist | 8525 Merlin Dr, Houston, TX 77055-4836 | 2014-06-07 |
| 1104194224 | Maria Bural | Physical Therapist | 5209 Cornish St, Houston, TX 77007-1909 | 2011-12-03 |
| 1831475995 | Emily Berman | Physical Therapist | 4415 Lorinda Dr, Houston, TX 77018-1113 | 2011-11-02 |
| Find all providers in HOUSTON | ||||
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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.