Individual provider Active NPI

Stephanie Joy McAllister, DPT

  • Physical Therapist
  • Snow Hill, MD
National Provider Identifier
1245483130
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
MD 22694 Issued in MD
Practice address
114 Pearl St
Snow Hill, MD 21863-1201
Phone
(443) 235-8183
Fax
(443) 775-7713
NPI assigned
Oct 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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 MD 22694 MD Primary

Addresses

Primary practice location

114 Pearl St
Snow Hill, MD 21863-1201

Mailing address

PO Box 223
Snow Hill, MD 21863-0223
Phone (443) 235-8183

Other practice location 1

406 Marvel Ct
Easton, MD 21601-4052
Phone (410) 822-4613

Other identifiers 1

IdentifierTypeStateIssuer
435138000MedicaidMD

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
22694MDMDClinical Social Worker
MD 22694MDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1245483130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "218630223",
            "telephone_number": "443-235-8183",
            "fax_number": "443-775-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 PEARL ST",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "218631201",
            "telephone_number": "443-235-8183",
            "fax_number": "443-775-7713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Marvel Ct",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216014052",
            "country_code": "US",
            "telephone_number": "410-822-4613",
            "fax_number": "410-822-6534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "STEPHANIE",
        "middle_name": "JOY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2021-03-11",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "MD 22694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435138000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snow Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.