Active NPI
Stephanie Lynn McElroy, MPT
- Contractor
- Poughkeepsie, NY
National Provider Identifier
1033407135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 023849-1
- Practice address
- 5 Boces Rd
Poughkeepsie, NY 12601-6565 - Phone
- (845) 486-8004
- NPI assigned
- Jul 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 023849-1 | NY | Primary |
Addresses
Primary practice location
5 Boces Rd
Poughkeepsie, NY 12601-6565
Mailing address
41 Hillcrest CT
Wappingers Falls, NY 12590-4540
Phone (845) 297-0379
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023849-1 | Other | NY | NEW YORK LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023849-1 | NY | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1033407135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 HILLCREST CT",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125904540",
"telephone_number": "845-297-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 BOCES RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126016565",
"telephone_number": "845-486-8004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELROY",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-11",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "023849-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK LICENSE",
"identifier": "023849-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.