Stephanie Suzanne Fellows, PT, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT.009852 Issued in OH

Practice address

380 Elm St
London, OH 43140-9220

Phone

(740) 845-3272

NPI assigned

Feb 6, 2014

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

Other names 1

• Stephanie Suzanne Shinn Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• London City School District

  • Local Education Agency (LEA)
  • London, OH
  • NPI 1588852628
  NPD (past)
• London City Schools

  • Early Intervention Provider Agency
  • London, OH
  • NPI 1891119509
  NPD (past)

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1124442447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 PRAIRIE RD",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431198848",
            "telephone_number": "614-893-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 ELM ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409220",
            "telephone_number": "740-845-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLOWS",
        "first_name": "STEPHANIE",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "PT, MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.009852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SHINN",
            "middle_name": "SUZANNE",
            "credential": "PT, MSPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nijmah O Etayem
• Jack L Ewan, O.D.
• David Allen Fairchild, R.PH.
• Family Dental Care - Joseph Yong DDS LLC
• Family Dental Care at Eagleton Center
• Karen Felty
• Chris T Fetherolf
• Fit for Life Counseling LLC
• Cara Fleming, OTR/L
• Krista Fliger, MA/LPC

• Physical Therapist in London, OH
• Providers in London, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.