Stephanie Wiley

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

5040 Snapfinger Woods Dr Ste 205
Decatur, GA 30035-4020

Phone

(678) 585-3599

NPI assigned

Oct 1, 2019

Last updated

Jan 29, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation Georgia, LLCGroup PAC ID 4284063835, 80 clinicians

Reliant Senior Living LLCGroup PAC ID 0446754451, 117 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empowerme Rehabilitation Georgia, LLC

  • Multi-Specialty Clinic/Center
  • Cumming, GA
  • NPI 1952934374

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Reliant Senior Living LLC

  dba Living Rehab

  • Physical Therapist
  • Alpharetta, GA
  • NPI 1851265755
  Medicare reassignment Care Compare group
• O2 Rehab Solutions LLC

  • Physical Therapy Clinic/Center
  • Stockbridge, GA
  • NPI 1962958462
  NPD

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1912548900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 SNAPFINGER WOODS DR STE 205",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354020",
            "telephone_number": "678-585-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 SNAPFINGER WOODS DR STE 205",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354020",
            "telephone_number": "678-585-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "webPT",
            "affiliation": "N",
            "address_1": "5040 Snapfinger Woods Dr Ste 205",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300354020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William Wilcox
• Richard Edward Wild, M.D.
• Cometa Wilder, LCSW
• Albert Wildstein, MD
• Janice Marie Wiley, LCSW
• Beth J Wilkening, P.A.-C
• Kayla Wilkins, MSW, ACSW
• Jane Louise Wilkov, MD
• Janet Will, M.D.
• Lindsay Elise Will, NP

• Physical Therapist in Decatur, GA
• Providers in Decatur, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.