Active NPI
Stephanie Klug
- Physical Therapist
- Hickory, NC
National Provider Identifier
1922644798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P19053
- Practice address
- 1087 13TH St SE
Hickory, NC 28602-4165 - Phone
- (828) 267-1688
- NPI assigned
- Nov 26, 2019
- Last updated
- Nov 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P19053 | NC | Primary |
Addresses
Primary practice location
1087 13TH St SE
Hickory, NC 28602-4165
Mailing address
114 Kyle LN
Mooresville, NC 28117-8419
Phone (570) 592-2911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P19053 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Neurotherapy Services | Past | Accepting new patients | |
| Childrens Neurotherapy Services | Past | Accepting new patients |
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.
-
- Early Intervention Provider Agency
- Hickory, NC
- NPI 1407037732
-
dba CNS Clinic
- Pediatric Occupational Therapist
- Hickory, NC
- NPI 1538105598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1922644798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 KYLE LN",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178419",
"telephone_number": "570-592-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1087 13TH ST SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286024165",
"telephone_number": "828-267-1688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUG",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-26",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P19053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.