Provider Demographics
NPI:1013041474
Name:STEVENS, ERIN E (PT)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:E
Last Name:STEVENS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:E
Other - Last Name:SCHILDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:4421 PARK BLVD N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-3540
Mailing Address - Country:US
Mailing Address - Phone:727-767-0470
Mailing Address - Fax:727-767-0471
Practice Address - Street 1:4421 PARK BLVD
Practice Address - Street 2:LIVE BETTER HEALTH CENTER
Practice Address - City:PINELLAS PARK
Practice Address - State:FLORIDA
Practice Address - Zip Code:33781
Practice Address - Country:UM
Practice Address - Phone:727-767-0470
Practice Address - Fax:727-767-0471
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 30411225100000X
IN05006327A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT 30411OtherFLORIDA PHYSICAL THERAPY LICENSE
IN200727930AOtherFIRST STEPS CORP
IN200668810OtherFIRST STEPS PT