Individual provider Active NPI

Stephanie Lynn Sposato, MPT

  • Physical Therapist
  • Wayne, PA
National Provider Identifier
1922009877
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012138L Issued in PA
Practice address
215 Sugartown Rd
Wayne, PA 19087-3004
Phone
(484) 582-0660
Fax
(484) 582-0666
NPI assigned
Aug 2, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT012138L PA Primary

Addresses

Primary practice location

215 Sugartown Rd
Wayne, PA 19087-3004

Mailing address

215 Sugartown Rd
Wayne, PA 19087-3004
Phone (484) 582-0660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050714000046 PA Practitioner - Physical Therapist in Private Practice 8729014519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

215 Sugartown Rd
Wayne, PA 19087-3004

215 Sugartown Rd
Wayne, PA 19087-3137
Phone (484) 582-0660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT012138LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bounce Back Physical Therapy Inc. Physical Therapist CurrentSince Jun 19, 2010 Accepting new patients
Bounce Back Physical Therapy Inc. Physical Therapist CurrentSince Jun 19, 2010 Accepting new patients

Locations

215 Sugartown Rd
Wayne, PA 19087
Phone (484) 582-0660

215 Sugartown Rd
#L
Wayne, PA 19087

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922009877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SUGARTOWN RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873004",
            "telephone_number": "484-582-0660",
            "fax_number": "484-582-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SUGARTOWN RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873004",
            "telephone_number": "484-582-0660",
            "fax_number": "484-582-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOSATO",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT012138L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.