Provider Type Icon

MR. GRANT STOVALL ATC NPI 1528031093


NPI Information

NPI: 1528031093
Provider Name: MR. GRANT STOVALL, ATC
Classification: Physical Therapist - 2251S0007X
Entity Type: Individual

Specialization: Sports

Address:
LUBBOCK SPORTS MEDICINE ASSOCIATES
4110 22ND PL
LUBBOCK, TX
ZIP 79410
Phone: (806) 792-4329
Get Directions

MR. Grant Stovall, ATC is a sports physical therapist in Lubbock, TX. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. MR. Grant Stovall, ATC NPI is 1528031093. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

LUBBOCK SPORTS MEDICINE ASSOCIATES
4110 22ND PL
LUBBOCK, TX
ZIP 79410
Phone: (806) 792-4329

The enumeration date for this NPI number is 2/7/2006 and was last updated on 11/22/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12255A2300XSpecialist/TechnologistAthletic TrainerAT1516TEXASNo
22251S0007XPhysical TherapistSports1123412TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1TXB125034MEDICARE PINTEXAS
2TXB125034MEDICARE OSCAR/CERTIFICATIONTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.