Active NPI
Stephanie Lynn Lunsford, PTA
- Physical Therapy Assistant
- Greenville, SC
National Provider Identifier
1962672832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 003698
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3418 | SC | MD | Occupational Therapy Assistant |
| A3950 | NC | MD | Physical Therapy Assistant |
| 003698 | GA | MD | Anesthesiologist 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.