Johnathon Kevin Stevens, LMT
NPI 1720377807ActiveIndividual· Contractor· Palm Bay, FL
Contractor (LMT) in Palm Bay, Florida, licensed in FL, with an NPI issued in March 2011.
Overview
| NPI | 1720377807 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMT |
| Sole proprietor | Yes |
| NPI issued | Mar 29, 2011 |
| Last updated in NPPES | Mar 29, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X | MA59178 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Contractor providers in Palm Bay
- 1861742272
- 1538726922
- 1174268395
- 1831580232
- 1356501399