Stephanie Sudderth, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1138725 Issued in TX

Practice address

150 Willow Creek Drive #107
Weatherford, TX 76085

Phone

(817) 550-5058

Fax

(817) 550-8177

NPI assigned

Mar 31, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1649595737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WILLOW CREEK DRIVE #107",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "76085",
            "telephone_number": "817-550-5058",
            "fax_number": "817-550-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WILLOW CREEK DRIVE #107",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "76085",
            "telephone_number": "817-550-5058",
            "fax_number": "817-550-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDDERTH",
        "first_name": "STEPHANIE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1138725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Lee Strickland
• Alexandria Schlegel Strong, FNP-C
• Carmelita Norma Strong
• Clarence Stroud
• Curtis L Studey, MD
• Emilia Sudduth
• Syed Umar Suhail, DO
• Kendra Sullivan
• Crystal Lenique Summerhill, RBT
• Summit LTC Weatherford II, LLC (Keeneland Nursing & Rehabilitation)

• Physical Therapist in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.