Individual provider Active NPI

Stephanie Ross

  • Neurology Physical Therapist
  • Richmond, VA
National Provider Identifier
1306713037
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
2305204586 Issued in VA
Practice address
11209 Ensley CT
Richmond, VA 23233-1850
Phone
(804) 241-7723
NPI assigned
Oct 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 2305204586 VA Primary

Addresses

Primary practice location

11209 Ensley CT
Richmond, VA 23233-1850

Mailing address

11209 Ensley CT
Richmond, VA 23233-1850

Other names 1

  • Stephanie Jane Penrod Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251125003607 DC Practitioner - Physical Therapist in Private Practice 7517459670 Reassigns benefits to 1 organization
I20251217004327 VA Practitioner - Physical Therapist in Private Practice 7517459670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Luna Care Physical Therapy LLCGroup PAC ID 0941615405, 89 clinicians

Practice addresses (Care Compare)

3712 Linda LN
Annandale, VA 22003-1510
Phone (866) 525-3175

5109 Arrowbrook CT
Glen Allen, VA 23060-2876
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305204586VAMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Luna Care Physical Therapy LLC Neurology CurrentSince Nov 14, 2025 Accepting new patients

Locations

8280 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (202) 794-7159

4870 Sadler Rd
Ste 300
Glen Allen, VA 23060
Phone (757) 524-2304

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1306713037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 ENSLEY CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 ENSLEY CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331850",
            "telephone_number": "804-241-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "VA",
            "license": "2305204586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "PENROD",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.