Individual provider Active NPI

Stephanie Lynn Nightingale, D.P.T.

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1619109485
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24915 Issued in FL
Practice address
943 S Beneva Rd
#204
Sarasota, FL 34232-2476
Phone
(941) 955-1850
Fax
(941) 955-1852
NPI assigned
Aug 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT24915 FL Primary

Addresses

Primary practice location

943 S Beneva Rd
#204
Sarasota, FL 34232-2476

Mailing address

943 S Beneva Rd
#204
Sarasota, FL 34232-2476
Phone (941) 955-1850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Well Body Clinic Inc Physical Therapist CurrentSince Oct 31, 2012 Accepting new patients
Total Therapy Solutions LLC Physical Therapist PastSince Jul 1, 2011 Accepting new patients
Intercoastal Medical Group Inc PastSince Oct 6, 1997 Accepting new patients

Locations

3915 8th Ave W
Bradenton, FL 34205
Phone (941) 747-7741

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1619109485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 S BENEVA RD",
            "address_2": "#204",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322476",
            "telephone_number": "941-955-1850",
            "fax_number": "941-955-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 S BENEVA RD",
            "address_2": "#204",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322476",
            "telephone_number": "941-955-1850",
            "fax_number": "941-955-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGHTINGALE",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.