Stephanie Mansour, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA25653 Issued in FL

Practice address

7350 Dairy Rd
Zephyrhills, FL 33540-1354

Phone

(813) 788-4300

NPI assigned

Aug 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Stephanie Barahona Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1255068672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17874 TROPICAL COVE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473671",
            "telephone_number": "727-365-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 DAIRY RD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335401354",
            "telephone_number": "813-788-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA25653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BARAHONA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shifa H Malik, M.D.
• Christa N Mann, MOT, CHT
• Latosha Nicole Solomon Manning, PT, DPT, MBA
• Melissa Manning
• Rajnish Manohar, DPM
• Paul F March, M.D.
• March,Katz,Rodriguez,MD'S,PA
• Sarah Renee Marcket, PT
• Carol M Marquis, O.D.
• Keith R Martin, MD

• Physical Therapy Assistant in Zephyrhills, FL
• Providers in Zephyrhills, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.