STEPHNIE WEDDERBURN (NPI# 1124202494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124202494 |
| Entity Type | Individual |
| Full Name | STEPHNIE WEDDERBURN |
| Credential | PT |
| Practice Address |
368 W Pike St Suite 204-a Lawrenceville GA 30045-3240 |
| Practice Telephone | 7707555278 |
| Practice Fax Number | 7707555682 |
| Mailing Telephone | 7707555278 |
| Mailing Fax Number | 7707555682 |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT003217 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
368 W PIKE ST SUITE 204-A |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-3240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053341552 | Robert Wayne Stevens | Chiropractor | 368 W Pike St, Suite 202, Lawrenceville, GA 30045-3240 | 2006-07-03 |
| 1558783928 | Total Thermal Imaging, LLC | Technician, Other | 368 W Pike St, Suite 107, Lawrenceville, GA 30046-3240 | 2014-01-20 |
| 1790928448 | Madhu Kapoor | Occupational Therapist | 368 W Pike St, Suite 204, Lawrenceville, GA 30045-3240 | 2009-04-10 |
| 1396983144 | Lisa D Wade | Speech-Language Pathologist | 368 W Pike St, Suite 204, Lawrenceville, GA 30045-3240 | 2009-02-02 |
| 1083888309 | Aparna Mehra | Occupational Therapist | 368 W Pike St, Suite 204, Lawrenceville, GA 30045-3240 | 2008-04-17 |
| 1275713919 | Sharon Ann Townsend | Occupational Therapist | 368 W Pike St, Suite 204, Lawrenceville, GA 30045-3240 | 2007-11-09 |
| 1487860532 | Nrc Medicals Supplies, LLC | Durable Medical Equipment & Medical Supplies | 368 W Pike St, Suite 204 B, Lawrenceville, GA 30045-3240 | 2007-05-15 |
| 1124142013 | Therapy Medical-wellness Centers, LLC | Clinic/Center | 368 W Pike St, Suite 204, Lawrenceville, GA 30045-3240 | 2007-03-18 |
| 1922135672 | Georgia Chiropractic Care, Inc. | Case Management | 368 W Pike St, Ste. 202, Lawrenceville, GA 30045-3240 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667237 | Noah Tucker | Physical Therapist | 1603 Macy Ln, Lawrenceville, GA 30043-3284 | 2020-07-28 |
| 1942827944 | Restore Physical Therapy and Rehab | Physical Therapist | 1339 Avington Glen Dr, Lawrenceville, GA 30045-3540 | 2020-06-25 |
| 1366065120 | April S Hayes | Physical Therapist | 2389 Meadow Isle Ln, Lawrenceville, GA 30043-2383 | 2020-05-27 |
| 1386280576 | Angela Bostic-maddox | Physical Therapist | 494 Lance View Ln, Lawrenceville, GA 30045-8719 | 2019-11-21 |
| 1952887390 | Michael Nathaniel Dula | Physical Therapist | 1530 Chadberry Way, Lawrenceville, GA 30043-7130 | 2018-07-18 |
| 1487014395 | Catherine Lavallee | Physical Therapist | 3349 Rae Pl, Lawrenceville, GA 30044-5647 | 2016-03-04 |
| 1699148718 | Alice M Cunningham-cara | Physical Therapist | 8 Monroe Ave, Lawrenceville, NJ 08648-1606 | 2015-11-11 |
| 1942691233 | Fatima Junaid | Physical Therapist | 1950 Riverside Pkwy, Suit 101, Lawrenceville, GA 30043-5918 | 2015-02-09 |
| 1790182673 | Cathy Hedrich | Physical Therapist | 360 Galesburg Dr, Lawrenceville, GA 30044-4855 | 2014-11-20 |
| 1003217316 | Zachary Hollis | Physical Therapist | 575 Professional Dr Ste 370, Lawrenceville, GA 30046-3334 | 2014-09-06 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.