Julie A Stevenson, PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501013744 Issued in MI

Practice address

4351 24TH Ave
Suite 1
Fort Gratiot, MI 48059-4506

Phone

(810) 385-7405

Fax

(810) 385-7420

NPI assigned

Jan 9, 2009

Sex

Female

Sole proprietor

Yes

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)

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.

• Munger Physical Therapy of Clinton Township, PLC

  • Physical Therapist
  • Clinton Township, MI
  • NPI 1497268460

  Physical Therapy

  NPD (past)
• Munger Physical Therapy, PLC

  • Physical Therapy Clinic/Center
  • Fort Gratiot, MI
  • NPI 1548428626
  NPD (past)

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1154568301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 24TH AVE",
            "address_2": "SUITE 1",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594506",
            "telephone_number": "810-385-7405",
            "fax_number": "810-385-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 24TH AVE",
            "address_2": "SUITE 1",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594506",
            "telephone_number": "810-385-7405",
            "fax_number": "810-385-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501013744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie M Stabile
• Starboard Counseling LLC
• Danielle Stark
• Heather Louise Stencel
• Alaina Lyn Stephens
• Jude L Stratford, D.O.
• Jane Palin Streb, PT
• Jax Britney Stroh
• Katelyn Strunk
• Donna L Suiter, O.D.

• Physical Therapy Clinic/Center in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.