Provider Demographics
NPI:1841550852
Name:OREILLY, STEPHANIE ROSE (PT, MSPT)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ROSE
Last Name:OREILLY
Suffix:
Gender:F
Credentials:PT, MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 TOWN CENTER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4387
Mailing Address - Country:US
Mailing Address - Phone:281-302-5560
Mailing Address - Fax:
Practice Address - Street 1:1250 CREEK WAY DR
Practice Address - Street 2:SUITE B
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3398
Practice Address - Country:US
Practice Address - Phone:713-590-2700
Practice Address - Fax:713-590-2702
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-23
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1089175225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist