Stephanie Rose Carlson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60984386 Issued in WA

Practice address

1733 H St Ste 400
Blaine, WA 98230-5107

Phone

(360) 332-5111

NPI assigned

Aug 7, 2020

Last updated

Aug 7, 2020By the provider in NPPES

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

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Capstone Health Services Inc.

  dba Capstone Physical Therapy

  • Physical Therapist
  • Lynden, WA
  • NPI 1336407956
  Medicare reassignment NPD
• Capstone Health Services Inc.

  dba Capstone Physical Therapy

  • Physical Therapist
  • Bellingham, WA
  • NPI 1831757848
  NPD
• La Conner Health and Wellness LLC

  • Primary Care Clinic/Center
  • La Conner, WA
  • NPI 1720356876
  NPD (past)

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1699385138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15044 225TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980775123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 H ST STE 400",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982305107",
            "telephone_number": "360-332-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "STEPHANIE",
        "middle_name": "ROSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60984386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Cain, COTA/L
• Luciene Teixeira Callon
• Stephana Campion
• Capstone Health Services Inc. (Capstone Physical Therapy)
• Capstone Health Services Inc. (Capstone Physical Therapy)
• Paul Yantzi Chang, DPT
• Bryan P Chen, D.D.S.
• Jennifer Linn Chesbro
• Computerized Services, Inc.
• Constantin Chiropractic P.C. (Blaine Chiropractic Center)

• Physical Therapist in Blaine, WA
• Providers in Blaine, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.