Stephen Walter Donnellon

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

126336 Issued in AK

Practice address

637 W 20TH Ave
Anchorage, AK 99503-1837

Phone

(907) 347-0239

Fax

(956) 424-3535

NPI assigned

Mar 12, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stephen Donnellon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Therapeutic Lifestyle

  • Physical Therapist
  • Mission, TX
  • NPI 1851552228
  NPD (past) Authorized official
• Wise Physical Therapy and Rehabilitation Inc.

  • Physical Therapist
  • Anchorage, AK
  • NPI 1164629853
  NPD
• Acovill Management Co., L.L.C.

  dba Kids In Action Therapy

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Mission, TX
  • NPI 1871584672
  NPD (past)
• Professional Therapeutic Care Inc.

  • Physical Therapist
  • Pompano Beach, FL
  • NPI 1255574604
  NPD (past)

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699142400000",
    "number": "1093985517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 W 20TH AVE STE 4",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995031837",
            "telephone_number": "907-347-0239",
            "fax_number": "956-424-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 W 20TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995031837",
            "telephone_number": "907-347-0239",
            "fax_number": "956-424-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLON",
        "first_name": "STEPHEN",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-12",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "126336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "DONNELLON",
            "credential": "P.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brian Robert Donaldson, M.D.
• Kristi Donewar
• Christopher Doney
• Nyamal Dong
• Donna V. Sawyer (Bayshore Assisted Living)
• Mollie Margarethe Donohue-Meyer
• Ellen Donohue, DDS, AEGD
• Cleary M Donovan, PSY. D.
• Haylee Donovan
• Makayla Dooley

• Physical Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.