STEPHEN ROBERT EATON – Physical Therapist, NPI 1104604545

STEPHEN ROBERT EATON is a healthcare provider. based in Sparks glencoe, Maryland. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 30004 (MD). The NPI Number for STEPHEN ROBERT EATON is 1104604545

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN ROBERT EATON
NPI
1104604545
Phone
(410) 472-7091
Address
2 Loveton Cir
Enumeration Date
18 September 2023
Last Update Date
19 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6672142732
Graduation Year
2024 (2 years ago)
PAC ID
7113456658
Group Practice PAC ID
0042108722
Professional Enrollment ID
I20250128004390
Address ID
MD212017912BA351XXSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:2State licenses:1Digital endpointsOther names

2,984 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MD

Provider Addresses for STEPHEN ROBERT EATON

  • 2 Loveton Cir

    Sparks Glencoe, MD 211529273

    Phone: (410) 472-7091

    Type: Location

  • PO BOX 64134

    BALTIMORE, MD 212644134

    Phone: (667) 214-2714

    Fax: (410) 448-6926

    Type: Mailing

  • 7140 CONTEE RD STE 3000

    LAUREL, MD 207079532

    Phone: (410) 448-6400

    Fax: (240) 636-9790

    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: 2025-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250128003931IPhysical Therapist In Private PracticeDCTBD
I20250128004390IPhysical Therapist In Private PracticeMDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21152)

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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: 0042108722View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Orthopedic SurgeryMD
P O D I A T R YMD
P O D I A T R YMD
Orthopedic SurgeryMD
Orthopedic SurgeryIL
Orthopedic SurgeryIL
Orthopedic SurgeryMD
Orthopedic SurgeryMD
Orthopedic SurgeryMD

Reviews

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Frequently asked questions

What identifier follows STEPHEN ROBERT EATON across health systems?
The NPI 1104604545 uniquely identifies STEPHEN ROBERT EATON in U.S. healthcare data.
Should I treat STEPHEN ROBERT EATON as an active provider?
Patients and plans typically see STEPHEN ROBERT EATON as active in the national extract.
What type of care does STEPHEN ROBERT EATON provide?
STEPHEN ROBERT EATON's profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to STEPHEN ROBERT EATON?
STEPHEN ROBERT EATON shows a connection to Sparks Glencoe, Maryland in registry-derived data.
Why is information missing for STEPHEN ROBERT EATON?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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