Individual provider Active NPI

Stefany Ann Sarelas, PT

  • Physical Therapist
  • St Petersburg, FL
National Provider Identifier
1164464467
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33444 Issued in FL
Practice address
7246 4TH Ave S
St Petersburg, FL 33707-1232
Phone
(312) 404-1548
Fax
(312) 470-6550
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 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 070-013614 IL
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT33444 FL Primary

Addresses

Primary practice location

7246 4TH Ave S
St Petersburg, FL 33707-1232

Mailing address

7246 4TH Ave S
St Petersburg, FL 33707-1232
Phone (312) 404-1548

Other practice location 1

651 W Washington Blvd
Suite 305
Chicago, IL 60661-2122
Phone (312) 880-9355

Other practice location 2

6775 40th Ave N
St Petersburg, FL 33709-4939
Phone (727) 803-1102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181116000964 FL Practitioner - Physical Therapist in Private Practice 7315908449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Telos Therapy LLCGroup PAC ID 1658533989, 3 clinicians

Practice addresses (Care Compare)

St Petersburg, FL 33707
Phone (312) 404-1548

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
86.58
Improvement activities
40
Cost
68.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT33444FLMDPhysical Therapist
070-013614ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Contingency Physical Therapy PLLC Single Specialty CurrentSince Feb 4, 2024 Accepting new patients
Florida Luna Care Physical Therapy LLC Single Specialty CurrentSince Apr 2, 2021 Accepting new patients
Florida Rehability at Home, LLC Physical Therapist CurrentSince Jul 10, 2022 Accepting new patients
Neural Health PC Single Specialty CurrentSince Jan 27, 2022 Accepting new patients
React Physical Therapy LLC Single Specialty PastSince Aug 19, 2013 Accepting new patients
Accelerated Rehabilitation Centers LTD Single Specialty Past Accepting new patients

Locations

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

5401 W Kennedy Blvd
Ste 100
Tampa, FL 33609
Phone (813) 323-1959

651 W Washington Blvd
Ste 305
Chicago, IL 60661
Phone (312) 404-1548

26 S Rio Grande St
Unit 2072
Salt Lake City, UT 84101

Organizations & group practices 7

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1164464467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7246 4TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071232",
            "telephone_number": "312-404-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7246 4TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071232",
            "telephone_number": "312-404-1548",
            "fax_number": "312-470-6550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 W Washington Blvd",
            "address_2": "Suite 305",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606612122",
            "country_code": "US",
            "telephone_number": "312-880-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6775 40th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337094939",
            "country_code": "US",
            "telephone_number": "727-803-1102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARELAS",
        "first_name": "STEFANY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-013614",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.