Provider Demographics
NPI:1275596165
Name:HOWELL, STEVEN (MED PT ATC)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:HOWELL
Suffix:
Gender:M
Credentials:MED PT ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 69030
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-9030
Mailing Address - Country:US
Mailing Address - Phone:757-873-2302
Mailing Address - Fax:757-873-2306
Practice Address - Street 1:751 J CLYDE MORRIS BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-1538
Practice Address - Country:US
Practice Address - Phone:757-873-2123
Practice Address - Fax:757-873-3848
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305003908225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
4672307OtherAETNA
VA192931OtherBCBS PHYSICAL THERAPY
VA650016368OtherRAILROAD MEDICARE
VA8928550Medicaid
VA8928550Medicaid
VA$$$$$$$$$-00OtherOHIO BUREAU OF WORKERS' COMPENSATION
VAC05954Medicare PIN