Brenda Mae Stephenson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P17301 Issued in NC

Practice address

251 Shelton St
Waynesville, NC 28786-3362

Phone

(828) 550-3923

Fax

(828) 354-0209

NPI assigned

Mar 13, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Custom Nutrition & Wellness LLC

  • Registered Dietitian
  • Cullowhee, NC
  • NPI 1538768577
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1043846850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E MAIN ST # A",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287793030",
            "telephone_number": "828-550-3923",
            "fax_number": "828-354-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 SHELTON ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863362",
            "telephone_number": "828-550-3923",
            "fax_number": "828-354-0209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Loving Way",
            "address_purpose": "LOCATION",
            "city": "Clyde",
            "state": "NC",
            "postal_code": "287219471",
            "country_code": "US",
            "telephone_number": "828-550-3923",
            "fax_number": "828-354-0209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "BRENDA",
        "middle_name": "MAE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Stankavich
• Andrea Nicole Stanley, LCSWA
• Paul Stapf, D.C.
• Kathy Michelle Stephan, MA, LCMHCA
• Leah Stephens, MSW
• Steven E Wampler
• Matthew Stevenson, LPCA
• Sydne Jane Stone, LPC
• John William Stringfield, MD
• Judith Shimer Stringfield, MD

• Physical Therapist in Waynesville, NC
• Providers in Waynesville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.