STEPHEN LANDREVILLE (PT) – Physical Medicine & Rehabilitation Physician, NPI 1033710769

STEPHEN LANDREVILLE (PT) is a healthcare provider. based in Parkland, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 21687 (FL). The NPI Number for STEPHEN LANDREVILLE (PT) is 1033710769

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN LANDREVILLE (PT)
NPI
1033710769
Phone
(954) 994-9908
Address
7233 NW 116TH WAY
Enumeration Date
9 November 2020
Last Update Date
9 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4079602808
Graduation Year
2004 (22 years ago)
PAC ID
8224019294
Group Practice PAC ID
2365626272
Professional Enrollment ID
I20210125002813
Address ID
FL327893385WI2682XAVEX400

Contacts

Main Contact
Epic
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for STEPHEN LANDREVILLE (PT)

  • 7233 NW 116TH WAY

    PARKLAND, FL 330763356

    Phone: (954) 994-9908

    Type: Mailing

  • 3066 SW MARTIN DOWNS BLVD

    PALM CITY, FL 349902683

    Phone: (954) 994-9908

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210125002813IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,63866$0
97140Therapy procedure using manual technique, each 15 minutes1,14258$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes33223$0
97161Evaluation for physical therapy, typically 20 minutes5446$0
View full utilization report →

Insurance plans in this area (ZIP 33076)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365626272View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How is STEPHEN LANDREVILLE (PT) identified in CMS data?
CMS-hosted NPPES data lists STEPHEN LANDREVILLE (PT) with NPI 1033710769.
Can I rely on STEPHEN LANDREVILLE (PT) being an active provider?
As of the registry snapshot, STEPHEN LANDREVILLE (PT) is marked active.
What taxonomy line describes STEPHEN LANDREVILLE (PT)?
For research purposes, treat STEPHEN LANDREVILLE (PT) as Physical Medicine & Rehabilitation Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect STEPHEN LANDREVILLE (PT) on a map?
Expect Parkland, Florida as a primary anchor for STEPHEN LANDREVILLE (PT) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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