Active NPI
Stephanie Raymond, P.T.
- Physical Therapist
- Merced, CA
National Provider Identifier
1407033251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT22629
- Practice address
- 3327 M St Ste a
Merced, CA 95348-2705 - Phone
- (209) 722-1030
- Fax
- (209) 722-5408
- NPI assigned
- Jan 23, 2008
- 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 | PT22629 | CA | Primary |
Addresses
Primary practice location
3327 M St Ste a
Merced, CA 95348-2705
Mailing address
3327 M St Ste a
Merced, CA 95348-2705
Phone (209) 722-1030
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 |
|---|---|---|---|
| PT22629 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1407033251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3327 M ST STE A",
"city": "MERCED",
"state": "CA",
"postal_code": "953482705",
"telephone_number": "209-722-1030",
"fax_number": "209-722-5408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3327 M ST STE A",
"city": "MERCED",
"state": "CA",
"postal_code": "953482705",
"telephone_number": "209-722-1030",
"fax_number": "209-722-5408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND",
"first_name": "STEPHANIE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-23",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT22629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.