Wanda Ilene Stephens, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2007 Issued in TN

Practice address

815 South Walnut Ave
Cookeville, TN 38501

Phone

(931) 646-7216

Fax

(931) 528-8151

NPI assigned

Nov 30, 2006

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)

Not enrolled

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063580975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 DEERHAVEN DRIVE S",
            "city": "ALGOOD",
            "state": "TN",
            "postal_code": "38506",
            "telephone_number": "931-537-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SOUTH WALNUT AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38501",
            "telephone_number": "931-646-7216",
            "fax_number": "931-528-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "WANDA",
        "middle_name": "ILENE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "2007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael David Stempkovski, MA
• Hunter A Stenzel, D.O.
• Stephen J Chapman DPM D/B/a Family Foot Center
• Jeannetta Stephens, FNP-BC
• Lora M Stephens
• Jennifer D Stephenson, MSW
• Linda Stephenson, RN
• Stepping Stones Therapy LLC
• Wolfgang Steudel, MD
• Steven G. Flatt, M.D. & Jane Anne Gotcher, M.D.

• Physical Therapy Assistant in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.