Stephanie Wilfong, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305205317 Issued in VA

Practice address

130 S 20TH St
Purcellville, VA 20132-3301

Phone

(540) 227-0390

NPI assigned

Aug 25, 2014

Last updated

Mar 1, 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

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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.

• Dr. Alina, LLC Dba Full Distance

  dba Full Distance

  • Physical Therapist
  • Hamilton, VA
  • NPI 1881139079
  Medicare reassignment NPD
• Wilfong Mobile Physical Therapy

  • Physical Therapy Clinic/Center
  • Purcellville, VA
  • NPI 1013825348
  NPD (past) Authorized official

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1609276864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S 20TH ST",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323301",
            "telephone_number": "540-227-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S 20TH ST",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323301",
            "telephone_number": "540-227-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILFONG",
        "first_name": "STEPHANIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Thomas Wenzel, MD
• Western Loudoun Pediatrics
• Anna White
• Ashley White, DDS
• Wilfong Mobile Physical Therapy
• Kristina Wilk, MS OTR/L
• Brittney Rena Williamson, M. ED.
• Wink Vision
• Amberleigh Ruth Winn, FNP-BC
• Glenna B. Winnie, MD

• Physical Therapist in Purcellville, VA
• Providers in Purcellville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.