Active NPI
Stephanie Dawn Wheeler, PT
- Physical Therapist
- Flower Mound, TX
National Provider Identifier
1801193552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1114791
- Practice address
- 3100 Peters Colony Rd
Flower Mound, TX 75022-2949 - Phone
- (214) 513-0310
- NPI assigned
- Feb 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1114791 | TX | Primary |
Addresses
Primary practice location
3100 Peters Colony Rd
Flower Mound, TX 75022-2949
Mailing address
318 Edgewood St
Krum, TX 76249-5128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1114791 | TX | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297728000000",
"number": "1801193552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 EDGEWOOD ST",
"city": "KRUM",
"state": "TX",
"postal_code": "762495128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 PETERS COLONY RD",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750222949",
"telephone_number": "214-513-0310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "STEPHANIE",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-15",
"last_updated": "2011-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1114791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.