Stephen P Dedufour, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00747800 Issued in NJ

Practice address

3131 Princeton Pike
BLDG 4, Suite 100
Lawrenceville, NJ 08648-2201

Phone

(609) 896-4128

Fax

(609) 896-0962

NPI assigned

Jul 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Columbia University College of Physicians and Surgeons, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Therapy Services P.C.Group PAC ID 8628065547, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pinnacle Therapy Services P.C.

  • Physical Therapist
  • Lawrenceville, NJ
  • NPI 1205857497
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1174544365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 PRINCETON PIKE",
            "address_2": "BLDG 4, SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482201",
            "telephone_number": "609-896-4128",
            "fax_number": "609-896-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 PRINCETON PIKE",
            "address_2": "BLDG 4, SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482201",
            "telephone_number": "609-896-4128",
            "fax_number": "609-896-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDUFOUR",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00747800",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005395L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DB Internal & Sports Medicine LLC
• DBT Center of NJ
• Tanja De Marsche, D.M.D.
• Joseph Deantonio, M.D.
• Meghan Dearstyne
• Delaware Valley OB-GYN and Infertility Group PC
• Delaware Valley Pediatric Associates, PA
• Delaware Valley Physical Therapy Associates PA
• Delaware Valley Retina Associates PC
• Gina C Delgiudice, M.D.

• Physical Therapist in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.