Individual provider Active NPI

Stephanie Rachael Dallocchio, PA-C

  • Physician Assistant
  • Lone Tree, CO
National Provider Identifier
1710561055
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0009068 Issued in CO
Practice address
9220 Teddy LN Ste 2000-2E
Lone Tree, CO 80124-6740
Phone
(720) 263-2528
Fax
(866) 214-1683
NPI assigned
May 12, 2021
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10005435A IN
Physician Assistant 363A00000X PA.0009068 CO Primary

Addresses

Primary practice location

9220 Teddy LN Ste 2000-2E
Lone Tree, CO 80124-6740

Mailing address

9220 Teddy LN Ste 2000-2E
Lone Tree, CO 80124-6740
Phone (720) 263-2528

Other practice location 1

10293 N Meridian St
Carmel, IN 46290-1123
Phone (720) 263-2528

Other practice location 2

6165 Lehman Dr Ste 102
Colorado Springs, CO 80918-5405
Phone (720) 263-2528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231121003925 NC Practitioner - Physician Assistant 2466800966 Reassigns benefits to 1 organization
I20250513003456 CO Practitioner - Physician Assistant 2466800966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Colorado Recovery TMS, LLCGroup PAC ID 2163822511, 9 clinicians

Practice addresses (Care Compare)

1259 Lake Plaza Dr
Suite 200
Colorado Springs, CO 80906-3516
Phone (719) 622-6522

2587 Ravenhill Dr
Fayetteville, NC 28303-5451
Phone (910) 323-1543

2601 Iron Gate Dr
Suite 204
Wilmington, NC 28412-6624
Phone (910) 500-7072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10005435AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Recovery TMS, LLC CurrentSince Oct 1, 2025 Accepting new patients
Best Day Psychiatry and Counseling, PC CurrentSince Oct 12, 2023 Accepting new patients
Still Waters Mental Health, LLC Physician Assistant Past Accepting new patients
Still Waters Mental Health, LLC Physician Assistant Past Accepting new patients

Locations

1259 Lake Plaza Dr
Ste 200
Colorado Springs, CO 80906
Phone (719) 622-6522

8580 Scarborough Dr
Ste 125
Colorado Springs, CO 80920
Phone (719) 282-1211

1840 Woodmoor Dr
Ste 102
Monument, CO 80132
Phone (719) 622-6522

2587 Ravenhill Dr
Fayetteville, NC 28303
Phone 9103231543250

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1710561055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 TEDDY LN STE 2000-2E",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246740",
            "telephone_number": "720-263-2528",
            "fax_number": "866-214-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 TEDDY LN STE 2000-2E",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246740",
            "telephone_number": "720-263-2528",
            "fax_number": "866-214-1683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10293 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "462901123",
            "country_code": "US",
            "telephone_number": "720-263-2528",
            "fax_number": "866-214-1683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6165 Lehman Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809185405",
            "country_code": "US",
            "telephone_number": "720-263-2528",
            "fax_number": "866-214-1683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALLOCCHIO",
        "first_name": "STEPHANIE",
        "middle_name": "RACHAEL",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10005435A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0009068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.