Individual provider Active NPI

Wendy Stepura

  • Physical Therapist
  • Leonardtown, MD
National Provider Identifier
1104064484
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19149 Issued in MD
Practice address
40900 Merchants LN
Leonardtown, MD 20650-3700
Phone
(301) 997-1155
NPI assigned
Jan 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19149 MD Primary

Addresses

Primary practice location

40900 Merchants LN
Leonardtown, MD 20650-3700

Mailing address

PO Box 2327
Leonardtown, MD 20650-2327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100505001038 MD Practitioner - Physical Therapist in Private Practice 0446388870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strickland Physical Therapy, LLCGroup PAC ID 6305920539, 4 clinicians

Practice addresses (Care Compare)

40900 Merchants LN
Unit 202
Leonardtown, MD 20650-3796
Phone (301) 997-1155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19149MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strickland Physical Therapy, LLC Physical Therapist CurrentSince May 7, 2009 Accepting new patients

Locations

40900 Merchants Ln
Unit 202
Leonardtown, MD 20650
Phone (301) 997-1155

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.

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1104064484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2327",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40900 MERCHANTS LN",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503700",
            "telephone_number": "301-997-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPURA",
        "first_name": "WENDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.