Individual provider Active NPI

Stephanie Archambault, PT, DPT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1154947760
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41811 Issued in FL
Practice address
7417 Monika Manor Dr
Tampa, FL 33625-5814
Phone
(813) 438-3579
NPI assigned
Jun 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1331576 TX
Physical Therapist 225100000X PT41811 FL Primary

Addresses

Primary practice location

7417 Monika Manor Dr
Tampa, FL 33625-5814

Mailing address

3700 McKinney Ave Apt 366
Dallas, TX 75204-1694
Phone (239) 431-0258

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022003355 FL Practitioner - Physical Therapist in Private Practice 6901225614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Emory University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neubility Rehabilitation and Wellness LLCGroup PAC ID 0648642553, 12 clinicians
Nalin LLCGroup PAC ID 8022310333, 15 clinicians

Practice addresses (Care Compare)

Pinellas Park, FL 33782
Phone (727) 616-0809

7417 Monika Manor Dr
Tampa, FL 33625-5814
Phone (813) 438-3579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nalin LLC Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Neubility Rehabilitation and Wellness LLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Venice Rehab, LLC Physical Therapist PastSince Sep 1, 2024 Accepting new patients
Calibrated Health LLC Physical Therapist PastSince Nov 24, 2024 Accepting new patients

Locations

5860 Ranch Lake Blvd
Ste 102
Bradenton, FL 34202
Phone (941) 212-1444

9079 Belcher Rd N
Pinellas Park, FL 33782
Phone (727) 616-0809

7417 Monika Manor Dr
Tampa, FL 33625
Phone (813) 438-3579

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1154947760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 MCKINNEY AVE APT 366",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041694",
            "telephone_number": "239-431-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7417 MONIKA MANOR DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255814",
            "telephone_number": "813-438-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHAMBAULT",
        "first_name": "STEPHANIE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1331576",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.