Individual provider Active NPI

Stephanie Alice Deering, PT, DPT

  • Physical Therapist
  • Albany, OR
National Provider Identifier
1699515205
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65328 Issued in OR
Practice address
629 Hickory St NW Ste 160
Albany, OR 97321-1778
Phone
(541) 730-4655
Fax
(541) 730-4660
NPI assigned
May 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 65328 OR Primary

Addresses

Primary practice location

629 Hickory St NW Ste 160
Albany, OR 97321-1778

Mailing address

PO Box 1360
Philomath, OR 97370-1360
Phone (541) 730-4655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240815002262 OR Practitioner - Physical Therapist in Private Practice 9436697976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Motion Physical Therapy, Inc.Group PAC ID 8426078361, 36 clinicians

Practice addresses (Care Compare)

629 Hickory St NW
Suite 160
Albany, OR 97321-1778
Phone (541) 730-4655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65328ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Motion Physical Therapy, Inc. Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Pediatric Therapy Services Inc Past Accepting new patients

Locations

629 Hickory St NW
Ste 160
Albany, OR 97321
Phone (541) 730-4655

732 Main St
Philomath, OR 97370
Phone (541) 929-2255

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1699515205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1360",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973701360",
            "telephone_number": "541-730-4655",
            "fax_number": "541-730-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 HICKORY ST NW STE 160",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211778",
            "telephone_number": "541-730-4655",
            "fax_number": "541-730-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEERING",
        "first_name": "STEPHANIE",
        "middle_name": "ALICE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.