Stefanie McNeal, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1206368 Issued in TX

Practice address

1313 N Belt Line Rd Ste 102
Mesquite, TX 75149-1784

Phone

(972) 289-0691

Fax

(972) 289-0692

NPI assigned

Jun 13, 2011

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

• Stefanie Simonson 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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1992090435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 PRESTON OAKS RD APT 212",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752542419",
            "telephone_number": "972-289-0691",
            "fax_number": "972-289-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 N BELT LINE RD STE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491784",
            "telephone_number": "972-289-0691",
            "fax_number": "972-289-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEAL",
        "first_name": "STEFANIE",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1206368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "SIMONSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• MD Logix Practice Solutions

• Physical Therapist in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.