Stephanie Renee Wolf, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

8464 Issued in OR

Practice address

2368 Crater Lake Ave Ste 103
Medford, OR 97504-5006

Phone

(541) 773-2999

Fax

(541) 773-1874

NPI assigned

Mar 3, 2009

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

State licenses

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1881834844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2368 CRATER LAKE AVE STE 103",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045006",
            "telephone_number": "541-773-2999",
            "fax_number": "541-773-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2368 CRATER LAKE AVE STE 103",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045006",
            "telephone_number": "541-773-2999",
            "fax_number": "541-773-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "STEPHANIE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "8464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Wold
• Clark H Wolf III, DC
• Elisa Marie Wolf
• Melissa Wolf
• Robert Wolf, RPH
• Nichole Ashley Wolff, CADC 1
• Kim Evelyn Wolforth
• Hannah D Wolsiefer-Leak, M.D.
• Katherine Adelle Womack, CRM
• Women's Health, Inc. (Women's Specialty Group)

• Physical Therapy Assistant in Medford, OR
• Providers in Medford, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.