Stephanie Lynn Altschuh, MSPT
Individual provider Active NPI Pediatric Physical Therapist · Johnson City, NY
NPI 1861648024 · NPPES record last updated May 10, 2013
Key facts
- NPI
- 1861648024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 031741-1 (NY)
- Practice address
- 286 Deyo Hill Rd
Johnson City, NY 13790-5110 - Phone
- (607) 624-8207
- NPI assigned
- Aug 7, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT009418 | GA | MD | Physical Therapist |
| 031741-1 | NY | MD | Pediatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT009418 | GA | |
| Pediatric Physical Therapist | 2251P0200X | 031741-1 | NY | Yes |
Addresses
Primary practice location
286 Deyo Hill Rd
Johnson City, NY 13790-5110
Mailing address
590 Shaver Hill Rd
Deposit, NY 13754-3511
Phone (607) 624-8207
Other names
- Stephanie Lynn Baudendistel
Other providers in Johnson City, NY
- Fawzi Algahaim
- Hoor Ali
- Muhammad I Ali
- Tooba Ali
- Omar Alkhalidi
- Robert B Altschuler
- Nisar A. Alvi
- Dania M Amerman
- Timmothy Michael Ames
- Dohaa Amin
All providers in Johnson City, NY · Pediatric Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.