MRS. STEPHANIE VAN DE WATER (NPI# 1467800128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467800128 |
Entity Type | Individual |
Full Name | MRS. STEPHANIE VAN DE WATER |
Other Name | MS. STEPHANIE NADEAU |
Credential | PT, DPT |
Practice Address |
844 N Ellsworth Rd Mesa AZ 85207-5114 |
Practice Telephone | 4803802810 |
Mailing Telephone | 4803802810 |
Enumeration Date | 2016-06-02 |
Last Update Date | 2020-02-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
12270PT | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
844 N ELLSWORTH RD |
City | MESA |
State | AZ |
Zip Code | 85207-5114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487847125 | Taresa Pifer | Occupational Therapist | 844 N Ellsworth Rd, Mesa, AZ 85207-5114 | 2007-08-27 |
1932714755 | Anna Kirschner | Occupational Therapist | 844 N Ellsworth Rd, Mesa, AZ 85207-5114 | 2020-09-09 |
1689207250 | Jenna Haggerty | Physical Therapist | 844 N Ellsworth Rd, Mesa, AZ 85207-5114 | 2020-02-21 |
1912482001 | Victoria Grovas | Occupational Therapist | 844 N Ellsworth Rd, Mesa, AZ 85207-5114 | 2018-09-25 |
1972089183 | Shelley Davis | Occupational Therapist | 844 N Ellsworth Rd, Mesa, AZ 85207-5114 | 2018-07-11 |
1841787918 | Valerie Christina Ngai | Physical Therapist | 844 N Ellsworth Rd, Mesa, AZ 85207-5114 | 2018-04-15 |
1043747074 | Jessica Short | Physical Therapist | 844 N Ellsworth Rd, Mesa, AZ 85207-5114 | 2017-05-22 |
1013466903 | Sonia Cardenas | Physical Therapist | 844 N Ellsworth Rd, Mesa, AZ 85207-5114 | 2016-10-03 |
1598198301 | Brenda Rae Smith | Occupational Therapy Assistant | 844 N Ellsworth Rd, Mesa, AZ 85207-5114 | 2013-08-15 |
1043659659 | Amber Brennan | Physical Therapist | 844 N Ellsworth Rd, Mesa, AZ 85207-5114 | 2013-06-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790241743 | Sharin Lane | Physical Therapist | Spooner North Mesa, PC, 6824 E Brown Rd # 102, Mesa, AZ 85207 | 2019-02-14 |
1154898435 | Phoenix Physician Group, LLC | Emergency Medicine | 3430 N. Mountain Ridge, Unit 14, Mesa, AZ 85207 | 2018-10-25 |
1467970939 | Kerry Mae Kenley | Specialist/Technologist | 7556 E. Laurel St, Mesa, AZ 85207 | 2017-09-05 |
1053709287 | Barbara Bowen | Speech-Language Pathologist | 8433 E. Leland St., Mesa, AZ 85207 | 2014-12-22 |
1043561046 | Joseph Allen Kempton | Physical Therapist | 844 N. Ellsworth Rd, Mesa, AZ 85207 | 2012-10-01 |
1629327556 | Odyssey Services Corp. | Community/Behavioral Health | 8947 East Quill Street, Mesa, AZ 85207 | 2012-09-06 |
1962729160 | Chao Li | Dermatology | 6832 E Brown Rd, Mesa, AZ 85207 | 2010-04-27 |
1366670929 | Trevor Lee Caffall | Dentist | 6812 E. Brown Rd., Ste 102, Mesa, AZ 85207 | 2009-06-22 |
1396928073 | Dht Hand Therapy Limited Partnership | Occupational Therapist | 7165 E University Dr Ste 143, Mesa, AZ 85207 | 2007-12-17 |
1184794075 | Karen L Thomas Pllc | Nurse Practitioner | 3902 N. Stone Gully Cricle, Mesa, AZ 85207 | 2006-11-08 |
Find all providers in zip 85207 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245495829 | Kathleen Milner | Physical Therapist | 4554 E Inverness Ave Ste C-1, Mesa, AZ 85206-4639 | 2008-07-23 |
1245436468 | Mandy Marie Gandhi | Physical Therapist | 4554 E Inverness Ave Ste C1, Mesa, AZ 85206-4639 | 2007-06-25 |
1497968820 | Kristin Hix | Physical Therapist | 952 E. Baseline Rd., Suite A106, Mesa, AZ 85204 | 2007-05-08 |
1568583060 | Jennifer Lynne Weil | Physical Therapist | 11229 E Renfield Ave, Mesa, AZ 85212-4158 | 2007-04-02 |
1508929316 | Jessica Basha | Physical Therapist | 3403 E Main St # 208, Mesa, AZ 85213-8683 | 2006-12-19 |
1124194675 | Linda S Beckman | Physical Therapist | 1522 E Granada Cir, Mesa, AZ 85203-4420 | 2006-11-27 |
1508931569 | Fiesta Pediatric Therapy | Physical Therapist | 930 W Southern Ave, Suite 10, Mesa, AZ 85210-4938 | 2006-11-22 |
1942660618 | S.e.e.k. Arizona, LLC | Physical Therapist | 1830 S Alma School Rd, Suite 130, Mesa, AZ 85210 | 2016-02-24 |
1326445156 | Emmah Njoki | Physical Therapist | 4542 E Inverness Ave, Mesa, AZ 85206-4619 | 2014-11-21 |
1043659659 | Amber Brennan | Physical Therapist | 844 N Ellsworth Rd, Mesa, AZ 85207-5114 | 2013-06-17 |
Find all providers in MESA |
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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.