Steph White Clark DPT LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

STEPH WHITE CLARK DPT LLC

Practice address

917 Grant Ave
Medford, OR 97501-3407

Phone

(352) 817-2512

NPI assigned

Jun 30, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Marie Clark, PT, DPT, OCS

Title

Physical Therapist/Owner

Phone

(352) 817-2512

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Marie Cragg, PT, DPT, OCS

  • Orthopedic Physical Therapist
  • Medford, OR
  • NPI 1770994212
  Medicare reassignment NPD

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1548992159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 GRANT AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013407",
            "telephone_number": "352-817-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 GRANT AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013407",
            "telephone_number": "352-817-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPH WHITE CLARK DPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "352-817-2512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Steinhoefel
• Kathryn L Steinmetz, NP
• Jill Tilley Steinsiek, MD
• Jessica Stenger
• Rhianna Rachelle Stenseth
• Yukiko Seino Stephan, DDS
• Stephanie Gurczynski Counseling LLC
• Ashley Stephens, RDH
• Jeffery Stephens, CRM
• Kimberly J Stephens, PT

• Physical Therapy Clinic/Center in Medford, OR
• Providers in Medford, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.