Stephanie Nicole Habryl, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

2305216908 Issued in VA

Practice address

817 Crawford Ave
Augusta, GA 30904-3772

Phone

(706) 736-1255

NPI assigned

Aug 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, VA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Neuro-Developmental Treatment Programs, Inc.

  dba NDT Programs

  • Occupational Therapist
  • Augusta, GA
  • NPI 1417924036
  Medicare reassignment NPD
• JP Therapy, LLC

  • Physical Rehabilitation Occupational Therapist
  • Virginia Beach, VA
  • NPI 1851770598
  Medicare reassignment NPD

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1447863097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 TURNING LEAF CIR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096069",
            "telephone_number": "813-244-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 CRAWFORD AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043772",
            "telephone_number": "706-736-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABRYL",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT014892",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "VA",
            "license": "2305216908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Alta Guyant, D.O.
• Steven Guyton, M.D.
• H Relax LLC (H Massage)
• H.P.B. Inc (Barney's Pharmacy)
• Vanessa Haak
• Ladawn Austin Hackett, M.D.
• Zackery Hackle
• Steven T Hackman, DMD
• Dimitri Haddad
• Madelyn Hadding

• Pediatric Physical Therapist in Augusta, GA
• Providers in Augusta, GA by specialty
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.