Stephanie Whittaker, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4OQAO1872500 Issued in NJ

Practice address

266 Harristown Rd
Glen Rock, NJ 07452-3302

Phone

(201) 445-7000

NPI assigned

Sep 18, 2019

Last updated

Feb 27, 2024By 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

Other names 1

• Stephanie Zaccaria Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

K2 Physical Therapy LLCGroup PAC ID 7618340357, 8 clinicians

Practice addresses (Care Compare)

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

• K2 Physical Therapy LLC

  • Physical Therapist
  • Ho Ho Kus, NJ
  • NPI 1104535673
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1548810856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 REIS AVE",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492624",
            "telephone_number": "201-446-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523302",
            "telephone_number": "201-445-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "4OQAO1872500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SZaccaria@spineandsportsmed.com",
            "affiliation": "N",
            "address_1": "266 Harristown Rd",
            "city": "Glen Rock",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074523302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ZACCARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gail Weinberg, LSW
• Lori Gail Weiser, MD
• James Welch, M.D.
• Mark E Wertenteil, M.D.
• Aisling N Whelan, RDN
• Joyce Meltzer Woll, LCSW
• Judy Woo, M.D.
• Patricia A. Woods, LPC-NJ, LPC-PA, NCC
• Marlisa Yalong, OTR
• Sergio Alberto Yero, M.D.

• Physical Therapist in Glen Rock, NJ
• Providers in Glen Rock, 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 Feb 27, 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.