Active NPI
Stephanie Dunn
- Physical Therapist
- Louisville, KY
National Provider Identifier
1275914459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007971
- Practice address
- 680 S 4TH St
Louisville, KY 40202-2407 - Phone
- (800) 545-0749
- NPI assigned
- Jun 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05009355A | IN | |
| Physical Therapist | 225100000X | 007971 | KY | Primary |
Addresses
Primary practice location
680 S 4TH St
Louisville, KY 40202-2407
Mailing address
7199 Island Ford Rd
Hanson, KY 42413-9434
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05009355A | IN | MD | Physical Therapist |
| 007971 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600473600000",
"number": "1275914459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7199 ISLAND FORD RD",
"city": "HANSON",
"state": "KY",
"postal_code": "424139434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 S 4TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022407",
"telephone_number": "800-545-0749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-14",
"last_updated": "2020-09-19",
"certification_date": "2020-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05009355A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "007971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.