Individual provider Active NPI

Stephanie Laura Doepking, P.T.

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1194041954
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1195978 Issued in TX
Practice address
1904 Grandstand Dr
San Antonio, TX 78238-4508
Phone
(210) 520-8070
NPI assigned
Apr 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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 1195978 TX Primary

Addresses

Primary practice location

1904 Grandstand Dr
San Antonio, TX 78238-4508

Mailing address

1904 Grandstand Dr
San Antonio, TX 78238-4508
Phone (210) 520-8070

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1195978TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jag-One Physical Therapy, LLC Physical Therapist PastSince Feb 18, 2013 Accepting new patients
Concentra Health Services, Inc. Past Accepting new patients
Professional Physical Therapy & Rehabilitation, PC Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1194041954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 GRANDSTAND DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782384508",
            "telephone_number": "210-520-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 GRANDSTAND DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782384508",
            "telephone_number": "210-520-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOEPKING",
        "first_name": "STEPHANIE",
        "middle_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1195978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.