Cathy Lynette Stephenson, MS, PT, MSW

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01116600 Issued in NJ

Practice address

552 Valley Rd
Montclair, NJ 07043-1805

Phone

(973) 509-0827

Fax

(973) 509-0877

NPI assigned

Feb 22, 2007

Last updated

Jan 7, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Well in Montclair, LLCGroup PAC ID 5496147621, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Well in Montclair, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Montclair, NJ
  • NPI 1306507439

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Activecare Physical Therapy LLC

  • Physical Therapist
  • Dover, NJ
  • NPI 1407898778
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1326173089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 VALLEY RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431805",
            "telephone_number": "973-509-0827",
            "fax_number": "973-509-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 VALLEY RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431805",
            "telephone_number": "973-509-0827",
            "fax_number": "973-509-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "CATHY",
        "middle_name": "LYNETTE",
        "name_prefix": "Ms.",
        "credential": "MS, PT, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01116600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Steciuk, MS, ATR - BC
• Michael Stein, P.A.
• Jonathan Stepansky, LPC, CCMHC
• Sayonara Mano Stepansky, MA, LPC
• Stephen M Abo D O LLC
• Daniel S Stern, LSW
• Lauren Stern, PSY.D
• Steven E. Croucher, O.D. & Gabrielle Nitti, O.D.
• Stevette P. Heyliger, LPC, LLC
• Sharae Stewart, FNP-C

• Physical Therapist in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.