Stephanie D Bussey, PT MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1134302 Issued in TX

Practice address

19260 Stone Oak Pkwy
Suite 107
San Antonio, TX 78258

Phone

(210) 545-9355

Fax

(210) 545-9367

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Stephanie D Green Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Orthopaedic & Neuromuscular Rehabilitation Institute

  • Physical Therapist
  • San Antonio, TX
  • NPI 1982822060
  NPD (past)
• Wells Physical Therapy of Boerne, P.L.L.C.

  • Orthopedic Physical Therapist
  • Boerne, TX
  • NPI 1619912383
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1295746899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 977",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78294",
            "telephone_number": "210-572-6313",
            "fax_number": "210-545-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19260 STONE OAK PKWY",
            "address_2": "SUITE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-545-9355",
            "fax_number": "210-545-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSEY",
        "first_name": "STEPHANIE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PT MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1134302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86494T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "GREEN",
            "middle_name": "D",
            "prefix": "MS.",
            "credential": "PT MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Armita Anari Bushong, D.D.S
• Perry Joseph Bushong II, D.D.S.
• Sara Marie Bushur, WHNP-BC
• Kristin L Bussey-Smith, MD
• Henry I Bussey III, PT DPT MS OCS
• Claire E. Bustamante, PNP
• Edward Bustamante, O.D.,M.B.A
• Ernesto David Bustamante, LVN
• Julia Anne Bustamante, MD
• Mario A Bustamante, MD

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.