Stephanie Jane Ferguson, PTA
Individual provider Active NPI Physical Therapy Assistant · Brownsville, KY
NPI 1629313549 · NPPES record last updated Dec 4, 2012
Key facts
- NPI
- 1629313549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A02317 (KY)
- Practice address
- 813 S Main St
Brownsville, KY 42210-9009 - Phone
- (270) 597-2335
- NPI assigned
- Dec 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A02317 | KY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A02317 | KY | Yes |
Addresses
Primary practice location
813 S Main St
Brownsville, KY 42210-9009
Mailing address
795 Noah Bledsoe Rd
Smiths Grove, KY 42171-8275
Phone (270) 597-9759
Other providers in Brownsville, KY
- Edmonson Drug Company Inc
- Edmonson Eye Care 2016
- Edmonson Health Center LLC
- Whitney Renee Elkins
- Courtney Nicole Fazel
- Brittany Ann Fort
- Alexis Gehring
- Melissa M. Geralds
- GLK Enterprises, LLC
- GLK Enterprises, LLC
All providers in Brownsville, KY · Physical Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.