Stepping Stones Pediatric Therapy, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0055 Issued in NC

Legal business name

STEPPING STONES PEDIATRIC THERAPY, PLLC

Practice address

111 Trey Dr
Goldsboro, NC 27530-9086

Phone

(919) 751-9120

Fax

(919) 751-9170

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Diane Fleetwood, OTNPI 1841347788

Title

Owner

Phone

(919) 751-9120

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Diane Elizabeth Fleetwood, OTR-L

  • Specialist
  • Goldsboro, NC
  • NPI 1841347788
  NPD (past) Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659415735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TREY DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275309086",
            "telephone_number": "919-751-9120",
            "fax_number": "919-751-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TREY DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275309086",
            "telephone_number": "919-751-9120",
            "fax_number": "919-751-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPING STONES PEDIATRIC THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLEETWOOD",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-751-9120",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "0055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1841347788",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Schafer Statsick, OD
• Sarah C. Statsick, OD
• William S. Stauffer, CPO
• Holly Eudora Steele, LPCA
• Harold Brian Stegall, PT
• Stepz-2-Greater Heights
• Danielle Antionette Stevens, M.ED
• Nathaniel Knox Stevens, LCAS
• Nancy Stewart, MS, CCC-SLP
• James Gillotte Stieglitz, DC

• Specialist in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.