Active NPI
Roschella Y Stephens, PT, MS, SCS
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1093898280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8483
- Practice address
- 9848 N Tryon St
Ste 200
Charlotte, NC 28262-5512 - Phone
- (704) 323-2000
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8483 | NC | Primary |
Addresses
Primary practice location
9848 N Tryon St
Ste 200
Charlotte, NC 28262-5512
Mailing address
4601 Park Rd
Ste 300
Charlotte, NC 28209-3239
Phone (704) 323-2000
Other names 1
- Roschella Y Claytor
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8483 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Surgery Center LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- Charlotte, NC
- NPI 1144652330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276041600000",
"number": "1093898280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 PARK RD",
"address_2": "STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093239",
"telephone_number": "704-323-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9848 N TRYON ST",
"address_2": "STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282625512",
"telephone_number": "704-323-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "ROSCHELLA",
"middle_name": "Y",
"name_prefix": "Ms.",
"credential": "PT, MS, SCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2010-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "8483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROSCHELLA",
"last_name": "CLAYTOR",
"middle_name": "Y",
"credential": "PT, MS, SCS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.