Active NPI
John Scott Stephens, PT
- Physical Therapist
- Wilmington, NC
National Provider Identifier
1629038138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3637
- Practice address
- 1722 N Kerr Ave
Wilmington, NC 28405-1038 - Phone
- (910) 796-1991
- Fax
- (910) 796-1998
- NPI assigned
- Mar 27, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3637 | NC | Primary |
Addresses
Primary practice location
1722 N Kerr Ave
Wilmington, NC 28405-1038
Mailing address
809 Inlet View Dr
Wilmington, NC 28409-2106
Phone (910) 798-0214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7211202 | Medicaid | NC |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edwards and Associates Physical Therapy | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Beulaville, NC
- NPI 1720670862
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1629038138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 INLET VIEW DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284092106",
"telephone_number": "910-798-0214",
"fax_number": "910-796-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 N KERR AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284051038",
"telephone_number": "910-796-1991",
"fax_number": "910-796-1998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "JOHN",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "3637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7211202",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.