Active NPI
Melissa Lynn Stephens, PTA
- Physical Therapy Assistant
- Fort Worth, TX
National Provider Identifier
1982305918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2149259
- Practice address
- 6251 Overton Ridge Blvd
Fort Worth, TX 76132-3755 - Phone
- (817) 859-7897
- NPI assigned
- Mar 16, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2149259 | TX | Primary |
Addresses
Primary practice location
6251 Overton Ridge Blvd
Fort Worth, TX 76132-3755
Mailing address
4107 Trails End Dr Apt 1611
Fort Worth, TX 76116-0773
Phone (318) 458-2203
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 |
|---|---|---|---|
| 2149259 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1982305918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4107 TRAILS END DR APT 1611",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761160773",
"telephone_number": "318-458-2203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6251 OVERTON RIDGE BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323755",
"telephone_number": "817-859-7897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "MELISSA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-16",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2149259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
- Catherine M Stephens
- Chelsea Anne Stephens, CRNA
- Christi Brock Stephens, RNFA,CNOR
- Elizabeth A Stephens, L.C.S.W. A.C.P.
- Gloria Janae Stephens, PT, DPT, CLT
- Sharon Kay Stephens, MA LPC
- Shaundra Stephens, CMLC
- Rebecca Kinney Stephenson, MD
- Teresa Marie Stephenson, RN, BSN, CCRN
- Ryan Samuel Stepinoff, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.