Individual provider Active NPI

Stephanie Michelle Fant, PT, DPT

  • Physical Therapist
  • Hueytown, AL
National Provider Identifier
1194338699
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH9839 Issued in AL
Practice address
3014 Allison Bonnett Memorial Dr Ste 144
Hueytown, AL 35023-2394
Phone
(205) 744-9444
Fax
(205) 744-9477
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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 PTH9839 AL Primary

Addresses

Primary practice location

3014 Allison Bonnett Memorial Dr Ste 144
Hueytown, AL 35023-2394

Mailing address

3014 Allison Bonnett Memorial Dr Ste 144
Hueytown, AL 35023-2394
Phone (205) 744-9444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210901002572 AL Practitioner - Physical Therapist in Private Practice 6204232168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapysouth ChelseaGroup PAC ID 4284898982, 10 clinicians

Practice addresses (Care Compare)

100 Chelsea Corners Way
Suite 101
Chelsea, AL 35043-8207
Phone (205) 678-7272

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as individual
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapysouth Chelsea Physical Therapist CurrentSince Jul 19, 2021 Accepting new patients

Locations

100 Chelsea Corners Way
Ste 101
Chelsea, AL 35043
Phone (205) 678-7272

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

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": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1194338699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 ALLISON BONNETT MEMORIAL DR STE 144",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350232394",
            "telephone_number": "205-744-9444",
            "fax_number": "205-744-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 ALLISON BONNETT MEMORIAL DR STE 144",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350232394",
            "telephone_number": "205-744-9444",
            "fax_number": "205-744-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANT",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hueytown, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.