Individual provider Active NPI

Stephanie M Lowery, PT, DPT, DIP MDT

  • Orthopedic Physical Therapist
  • Kirtland, OH
National Provider Identifier
1437131034
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
06796 Issued in OH
Practice address
7917 Gildersleeve Dr
Kirtland, OH 44094-9530
Phone
(440) 527-1112
Fax
(800) 506-7952
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 06796 OH Primary

Addresses

Primary practice location

7917 Gildersleeve Dr
Kirtland, OH 44094-9530

Mailing address

7917 Gildersleeve Dr
Kirtland, OH 44094-9530
Phone (440) 527-1112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130925000657 OH Practitioner - Physical Therapist in Private Practice 2860636255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

36495 Vine St
Suite L
Willoughby, OH 44094-6347

7917 Gildersleeve Dr
Kirtland, OH 44094-9530
Phone (440) 527-1112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06796OHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Activecare PT Inc. Orthopedic CurrentSince Mar 13, 2013 Accepting new patients

Locations

36495 Vine St
Ste L
Willoughby, OH 44094
Phone (440) 525-2792

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1437131034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7917 GILDERSLEEVE DR",
            "city": "KIRTLAND",
            "state": "OH",
            "postal_code": "440949530",
            "telephone_number": "440-527-1112",
            "fax_number": "800-506-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7917 GILDERSLEEVE DR",
            "city": "KIRTLAND",
            "state": "OH",
            "postal_code": "440949530",
            "telephone_number": "440-527-1112",
            "fax_number": "800-506-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, DIP MDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "06796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirtland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.