Nicole Marie Stephens, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

8167861-2402 Issued in UT

Practice address

5974 Fashion Point Dr
#100
Ogden, UT 84403-4699

Phone

(801) 479-9644

NPI assigned

Sep 11, 2012

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

Other names 1

• Nicole Marie Barron Former name

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": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1942550561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 S 1025 E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844057074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5974 FASHION POINT DR",
            "address_2": "#100",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034699",
            "telephone_number": "801-479-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "UT",
            "license": "8167861-2402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BARRON",
            "middle_name": "MARIE",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marlene Stephani, PA-C
• Jack Edward Stephens, M.D.
• Jenessa Stephens
• Laval Stephens
• Megan Renee Stephens, PHARMD
• Dena D Stephenson, DPT
• Justine S Stephenson, LPC, NCC
• Phil Stephenson, DO
• Darin Scott Stettler, D.O.
• David M Stettler, DO

• Physical Therapy Assistant in Ogden, UT
• Providers in Ogden, UT by specialty
• Physical Therapy Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.