Stephanie Batdorf
Individual provider Active NPI Physical Therapy Assistant · Ida, MI
NPI 1922412121 · NPPES record last updated Jun 16, 2014
Key facts
- NPI
- 1922412121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA.07941 (OH)
- Practice address
- 7584 Ida East Rd
Ida, MI 48140-9760 - Phone
- (419) 360-4932
- NPI assigned
- Jun 16, 2014
- 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 |
|---|---|---|---|
| 5502003176 | MI | MD | Physical Therapy Assistant |
| PTA.07941 | OH | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA.07941 | OH | Yes |
| Physical Therapy Assistant | 225200000X | 5502003176 | MI |
Addresses
Primary practice location
7584 Ida East Rd
Ida, MI 48140-9760
Mailing address
7584 Ida East Rd
Ida, MI 48140-9760
Phone (419) 360-4932
Other providers in Ida, MI
- Alo Med PLLC
- Adam Lee Anastasoff
- Community Physicians PLLC
- Dr Sheilas Chirocare Clinic PLLC
- Angela Hines
- Ida Public Schools
- Natalie J. Jones
All providers in Ida, MI · Physical Therapy Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2014. 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.