Vigie Ambay Stephens

Individual provider Active NPI Physical Therapist · Marianna, FL

NPI 1013220649 · NPPES record last updated May 27, 2026

Key facts

NPI
1013220649
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
24679 (FL)
Practice address
4970 Highway 90
Marianna, FL 32446-6802
Phone
(850) 718-5620
NPI assigned
Jul 25, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
24679FLMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24679 FL Yes

Addresses

Primary practice location

4970 Highway 90
Marianna, FL 32446-6802

Mailing address

2829 Highway 69
Grand Ridge, FL 32442-4255
Phone (850) 209-6026

Other providers in Marianna, FL

All providers in Marianna, FL · Physical Therapist in Florida

Sources for this page

Verify at the official NPI Registry.