Active NPI
Stephanie Smith, DPT
- Physical Therapist
- Fox Point, WI
National Provider Identifier
1215344718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12434-024
- Practice address
- 8677 N Port Washington Rd
Fox Point, WI 53217-2209 - Phone
- (414) 351-8482
- Fax
- (414) 351-8483
- NPI assigned
- Jul 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12434-024 | WI | Primary |
Addresses
Primary practice location
8677 N Port Washington Rd
Fox Point, WI 53217-2209
Mailing address
8677 N Port Washington Rd
Fox Point, WI 53217-2209
Phone (414) 351-8482
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vita Physical Therapy SC | Physical Therapist | 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.
-
- Physical Therapy Clinic/Center
- Milwaukee, WI
- NPI 1255386454
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438214400000",
"number": "1215344718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8677 N PORT WASHINGTON RD",
"city": "FOX POINT",
"state": "WI",
"postal_code": "532172209",
"telephone_number": "414-351-8482",
"fax_number": "414-351-8483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8677 N PORT WASHINGTON RD",
"city": "FOX POINT",
"state": "WI",
"postal_code": "532172209",
"telephone_number": "414-351-8482",
"fax_number": "414-351-8483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "STEPHANIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-16",
"last_updated": "2015-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "12434-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fox Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.