Individual provider Active NPI

Stephanie Wilkinson, M.P.T.

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1992822001
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12796 Issued in FL
Practice address
1755 Mayview Rd
Jacksonville, FL 32210-2219
Phone
(904) 868-9268
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12796 FL Primary

Addresses

Primary practice location

1755 Mayview Rd
Jacksonville, FL 32210-2219

Mailing address

1755 Mayview Rd
Jacksonville, FL 32210-2219
Phone (904) 868-9268

Other identifiers 1

IdentifierTypeStateIssuer
P00604275OtherFLRAILROAD MEDICARE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
12796FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Physical Therapy Inc Physical Therapist CurrentSince Jan 12, 2020 Accepting new patients
Jacksonville Orthopaedic Institute Inc Physical Therapist PastSince Dec 14, 2025 Accepting new patients
Therafit Physical Therapy, LLC. Physical Therapist Past Accepting new patients

Locations

869 Stockton St
Ste 3
Jacksonville, FL 32204
Phone (904) 388-1300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1992822001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 MAYVIEW RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102219",
            "telephone_number": "904-868-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 MAYVIEW RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102219",
            "telephone_number": "904-868-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "12796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00604275",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

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