Provider Demographics
NPI:1720127327
Name:SOPHER, STEVEN V (PT)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:V
Last Name:SOPHER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:283 LOCKHAVEN DR STE 315
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-5519
Mailing Address - Country:US
Mailing Address - Phone:281-821-4200
Mailing Address - Fax:281-821-4880
Practice Address - Street 1:283 LOCKHAVEN DR STE 315
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-5519
Practice Address - Country:US
Practice Address - Phone:281-821-4200
Practice Address - Fax:281-821-4880
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPT1104503225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00802VOtherMEDICARE GROUP PROVIDER #
TX164171401OtherMEDICAID GROUP PROVIDER #
TX164172201Medicaid
TX31JCOtherBCBS GROUP PROVIDER #
TX0T0170OtherBCBS PROVIDER #
TX0T0170OtherBCBS PROVIDER #