Stephanie Michelle Caceres

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37972 Issued in FL

Practice address

2617 Crestfield Dr
Valrico, FL 33596-5751

Phone

(786) 853-5089

NPI assigned

May 19, 2025

Last updated

May 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Pelvic Way LLC

  • Physical Therapist
  • Valrico, FL
  • NPI 1154113173

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1801688759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 CRESTFIELD DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965751",
            "telephone_number": "786-853-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 CRESTFIELD DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965751",
            "telephone_number": "786-853-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACERES",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301287",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wolmar George Busche
• Dianne Butts
• Jeff H Bynum, DDS
• Carlos Rafael Cabanas
• Stephen Cabral, PT, DPT
• Elizabeth Paige Callahan
• Ana Camacho, BCBA
• Kimberly Angela Cammarano
• Cammarata Family Care Chiropractic, Inc. (Integrative Health Solutions)
• Andrea Leto Cammarata, D.C.

• Physical Therapist in Valrico, FL
• Providers in Valrico, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.