Active NPI
Stephanie Mae Wilkey, PTA
- Physical Therapy Assistant
- Orlando, FL
National Provider Identifier
1841403680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5290
- Practice address
- 3505 Lake Lynda Dr
Orlando, FL 32817-8324 - Phone
- (877) 896-3660
- Fax
- (888) 345-7994
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 5290 | CA | Primary |
Addresses
Primary practice location
3505 Lake Lynda Dr
Orlando, FL 32817-8324
Mailing address
8437 Norfolk Way
Stockton, CA 95209-2255
Phone (209) 478-2266
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841403680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8437 NORFOLK WAY",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952092255",
"telephone_number": "209-478-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 LAKE LYNDA DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328178324",
"telephone_number": "877-896-3660",
"fax_number": "888-345-7994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKEY",
"first_name": "STEPHANIE",
"middle_name": "MAE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "5290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.