Stephanie Lynn Falkenberg, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT17186 Issued in CA

Practice address

1761 Rosamond St
Petaluma, CA 94954-8584

Phone

(707) 529-9451

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Lynn Moore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310774400000",
    "number": "1851450258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 ROSAMOND ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949548584",
            "telephone_number": "707-529-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 ROSAMOND ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949548584",
            "telephone_number": "707-529-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALKENBERG",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT17186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MOORE",
            "middle_name": "LYNN",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Estrada
• Evergreen at Petaluma, L.L.C.
• Robin Exline, MS
• Molly Faahs
• Allison Fabian
• Leah Falsetto, MS RD
• Atom Farrell
• Francesca Fasano
• Catherine Victoria Feeley
• Shuo Feng

• Physical Therapist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.