MR. RUSSELL WADE STEPHAN MSM MPT
NPI 1124191226
Physical Therapist in Fort Myers, FL

Active since November 16, 2006
9371 CYPRESS LAKE DR, SUITE 20, FORT MYERS, FL 33919(239) 415-2595(239) 415-2597 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Physical Therapist

About RUSSELL STEPHAN

This page provides the complete NPI Profile along with additional information for Russell Stephan, a provider established in Fort Myers, Florida with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1124191226 assigned on November 2006. The practitioner's primary taxonomy code is 225100000X with license number PT20296 (FL). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1124191226 Verify this NPI
Provider Name
MR. RUSSELL WADE STEPHAN MSM MPT
Gender
Male
Entity Type
Individual
Location Address
9371 CYPRESS LAKE DR SUITE 20 FORT MYERS, FL 33919
Location Phone
(239) 415-2595
Location Fax
(239) 415-2597
Mailing Address
9371 CYPRESS LAKE DR SUITE 20 FORT MYERS, FL 33919
Mailing Phone
(239) 415-2595
Mailing Fax
(239) 415-2597
Is Sole Proprietor?
No
Enumeration Date
11-16-2006
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PT20296
License State
FL
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
K7849MEDICARE ID-TYPE UNSPECIFIED (04)FL 

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Chiropractor
9371 CYPRESS LAKE DR, SUITE 3
FT MYERS, FL 33919
Physical Therapist
9371 CYPRESS LAKE DR, SUITE 20
FORT MYERS, FL 33919
Physical Therapist
9371 CYPRESS LAKE DR, SUITE 20
FORT MYERS, FL 33919
Physical Therapist
9371 CYPRESS LAKE DR, SUITE 20
FORT MYERS, FL 33919
Pharmacist
9371 CYPRESS LAKE DR
FORT MYERS, FL 33919
Clinic/Center (Medical Specialty)
9371 CYPRESS LAKE DR, SUITE 12
FORT MYERS, FL 33919
Dentist (Pediatric Dentistry)
9371 CYPRESS LAKE DR, SUITE7
FORT MYERS, FL 33919
Dentist (Pediatric Dentistry)
9371 CYPRESS LAKE DR, SUITE 7
FORT MYERS, FL 33919
Physical Therapist
9371 CYPRESS LAKE DR, SUITE 20
FORT MYERS, FL 33919
Chiropractor
9371 CYPRESS LAKE DR, SUITE 2
FORT MYERS, FL 33919

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124191226, enumerated as an "individual" on November 16, 2006.

The provider is located at 9371 CYPRESS LAKE DR SUITE 20 FORT MYERS, FL 33919 and the phone number is (239) 415-2595.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.