Active NPI
Stephanie Lee Ross, DPT
- Pediatric Physical Therapist
- Morganton, NC
National Provider Identifier
1306817945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 10438
- Practice address
- 121 Fiddlers Run Blvd
Morganton, NC 28655-0095 - Phone
- (828) 430-3558
- Fax
- (828) 430-3522
- NPI assigned
- Jan 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 10438 | NC | Primary |
Addresses
Primary practice location
121 Fiddlers Run Blvd
Morganton, NC 28655-0095
Mailing address
121 Fiddlers Run Blvd
Morganton, NC 28655-0095
Phone (828) 430-3558
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11558324 | Other | NC | CAQH |
| 9414736 | Other | NC | PHCS |
| 079XT | Other | NC | BCBS |
| 186341 | Other | NC | MEDCOST |
| 7211951 | Medicaid | NC |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids First Therapy, LLC | Pediatrics | Past | Accepting new patients |
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": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1306817945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 FIDDLERS RUN BLVD",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286550095",
"telephone_number": "828-430-3558",
"fax_number": "828-430-3522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 FIDDLERS RUN BLVD",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286550095",
"telephone_number": "828-430-3558",
"fax_number": "828-430-3522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "STEPHANIE",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-31",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NC",
"license": "10438",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11558324",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9414736",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "079XT",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "186341",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7211951",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.