STEPHEN ROGER VILLANUEVA (PT) – Physical Therapist, NPI 1235598707

STEPHEN ROGER VILLANUEVA (PT) is a healthcare provider. based in Corpus christi, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1194576 (TX). The NPI Number for STEPHEN ROGER VILLANUEVA (PT) is 1235598707

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN ROGER VILLANUEVA (PT)
NPI
1235598707
Phone
(361) 993-9494
Address
5530 LIPES BLVD
Enumeration Date
12 February 2016
Last Update Date
12 February 2016

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
3619939494
Graduation Year
2009 (17 years ago)
PAC ID
5799202024
Group Practice PAC ID
3072644665
Professional Enrollment ID
I20250509000554
Address ID
TX784135511CO5530XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for STEPHEN ROGER VILLANUEVA (PT)

  • 5530, Lipes Boulevard, South Side, Corpus Christi, Nueces County, Texas, 78413, United States

    CORPUS CHRISTI, TX 784135511

    Phone: (361) 993-9494

    Mailing address matches the actual address.

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: 2025-05-09

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
I20250509000554IPhysical Therapist In Private PracticeTXTBD

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 78413)

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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: 3072644665View full group profile
NameSpecialtyState
Family PracticeTX
Internal MedicineTX
Cardiovascular Disease (Cardiology), Interventional CardiologyTX
Family PracticeTX
Nurse PractitionerTX
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Physical Therapist In Private PracticeTX
Physical Medicine And RehabilitationTX
Family PracticeTX

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Frequently asked questions

Is STEPHEN ROGER VILLANUEVA (PT) listed with a National Provider Identifier?
Yes — STEPHEN ROGER VILLANUEVA (PT) has NPI 1235598707 on file in the registry.
Is there an active status for STEPHEN ROGER VILLANUEVA (PT)?
For scheduling context, STEPHEN ROGER VILLANUEVA (PT) is shown as active in the registry.
What expertise is attributed to STEPHEN ROGER VILLANUEVA (PT)?
STEPHEN ROGER VILLANUEVA (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Texas is STEPHEN ROGER VILLANUEVA (PT) registered?
Use Corpus Christi, Texas as the headline location for STEPHEN ROGER VILLANUEVA (PT) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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