Individual provider Active NPI

Stephanie Lynn Lunsford, PTA

  • Physical Therapy Assistant
  • Greenville, SC
National Provider Identifier
1962672832
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
003698 Issued in GA
Practice address
2006 Pelham Rd
Greenville Place
Greenville, SC 29615-4005
Phone
(864) 315-1865
NPI assigned
Mar 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 3418 SC
Physical Therapy Assistant 225200000X A3950 NC
Physical Therapy Assistant 225200000X 003698 GA Primary

Addresses

Primary practice location

2006 Pelham Rd
Greenville Place
Greenville, SC 29615-4005

Mailing address

2280 US-29 North
Wesley Woods
Newnan, GA 30265

Other practice location 1

2280 US 29 North
Wesley Woods
Newnan, GA 30265
Phone (770) 683-6833

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

LicenseStateTypeSpecialty
3418SCMDOccupational Therapy Assistant
A3950NCMDPhysical Therapy Assistant
003698GAMDAnesthesiologist Assistant

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962672832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 US-29 NORTH",
            "address_2": "WESLEY WOODS",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 PELHAM RD",
            "address_2": "GREENVILLE PLACE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154005",
            "telephone_number": "864-315-1865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2280 US 29 North",
            "address_2": "Wesley Woods",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "30265",
            "country_code": "US",
            "telephone_number": "770-683-6833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNSFORD",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "3418",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A3950",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "003698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.