Stephanie Nani, DO LLC

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

DO175986 Issued in OR

Legal business name

STEPHANIE NANI, DO LLC

Practice address

15962 Boones Ferry Road
Suite 204
Lake Oswego, OR 97035

Phone

(503) 850-6935

NPI assigned

Sep 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Nani, DONPI 1649470485

Title

Owner/President

Phone

(503) 850-6935

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 6

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

• Stephanie Ruth Nani, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Grass Valley, CA
  • NPI 1649470485

  OR

  Medicare reassignment Authorized official
• Carey E Laine, PSY.D.

  • Clinical Psychologist
  • Nevada City, CA
  • NPI 1205834058
  NPD (past)
• Christopher Montanaro, D.O.

  • General Practice Physician
  • Grass Valley, CA
  • NPI 1871630970
  NPD (past)
• Katherine Neeb, DPT

  • Physical Therapist
  • Grass Valley, CA
  • NPI 1235575978
  NPD (past)
• Jay Robert Patt, DC

  • Chiropractor
  • Grass Valley, CA
  • NPI 1871685941
  NPD (past)
• Daniela Pruzan, DPT

  • Physical Therapist
  • Grass Valley, CA
  • NPI 1013310028
  NPD (past)

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619285293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15962 BOONES FERRY ROAD",
            "address_2": "SUITE 204",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97035",
            "telephone_number": "503-850-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15962 BOONES FERRY ROAD",
            "address_2": "SUITE 204",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97035",
            "telephone_number": "503-850-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE NANI, DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NANI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "503-850-6935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "OR",
            "license": "DO175986",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A8801",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OR",
            "license": "DO175986",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "OR",
            "license": "DO175986",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Steele, MA, LPC
• Natthawan Steele, LMT
• Cynthia S Steinhauser, PHD, LCSW
• Hans Albert Stenfert Kroese, P.T. MOMT
• Stephani Shaver LCSW LLC
• Stephen J Wallace MD PC
• Steven a. Hashiguchi, MD, LLC
• Steven M Madey MD PC
• Kristin Stevens, MSCN
• Susan Roach Stewart, MS

• Neuromusculoskeletal Medicine & OMM Physician in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.