Mia Grace Stefanelli, MSAT, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

9 Gladale Dr
Westerville, OH 43081-2434

Phone

(614) 725-9897

NPI assigned

Mar 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1871243105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GLADALE DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812434",
            "telephone_number": "614-725-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 GLADALE DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812434",
            "telephone_number": "614-725-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANELLI",
        "first_name": "MIA",
        "middle_name": "GRACE",
        "credential": "MSAT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tallon Stearns, RBT
• Nikki Stechschulte
• Jeff Steckman, PHARMD
• Matthew Harrison Steedman, LPC
• Katie Eileen Steele, M.D.
• Eloida Stegall
• Courtney Stein, BS
• Emily Ann Stein
• Erika Stein, LPCC
• Gabrielle Marie Stein, OTR/L

• Athletic Trainer in Westerville, OH
• Providers in Westerville, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.