Active NPI
Stephanie Lee Wilson, DPT
- Physical Therapist
- Norman, OK
National Provider Identifier
1295144384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4810
- Practice address
- 440 Merchant Dr
Norman, OK 73069-6470 - Phone
- (405) 809-8710
- Fax
- (405) 573-6768
- NPI assigned
- Aug 4, 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 | 4810 | OK | Primary |
Addresses
Primary practice location
440 Merchant Dr
Norman, OK 73069-6470
Mailing address
34637 Airline Rd
Pauls Valley, OK 73075-8583
Phone (405) 238-7000
Other names 1
- Stephanie Erickson
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4810 | OK | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1295144384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34637 AIRLINE RD",
"city": "PAULS VALLEY",
"state": "OK",
"postal_code": "730758583",
"telephone_number": "405-238-7000",
"fax_number": "405-238-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 MERCHANT DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696470",
"telephone_number": "405-809-8710",
"fax_number": "405-573-6768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "STEPHANIE",
"middle_name": "LEE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-04",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "ERICKSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.