Individual provider Active NPI

Stephanie A Morey, PTA

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1164828265
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
A5448 Issued in NC
Practice address
16820 Macanthra Dr
Charlotte, NC 28213-4879
Phone
(704) 807-5699
Fax
(704) 631-4574
NPI assigned
Nov 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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 A5448 NC Primary

Addresses

Primary practice location

16820 Macanthra Dr
Charlotte, NC 28213-4879

Mailing address

16820 Macanthra Dr
Charlotte, NC 28213-4879
Phone (704) 807-5699

Other identifiers 1

IdentifierTypeStateIssuer
A5448OtherNCNBPTE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A5448NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Kids, Inc. Past Accepting new patients

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": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1164828265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16820 MACANTHRA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134879",
            "telephone_number": "704-807-5699",
            "fax_number": "704-631-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16820 MACANTHRA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134879",
            "telephone_number": "704-807-5699",
            "fax_number": "704-631-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREY",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "A5448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBPTE",
            "identifier": "A5448",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

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