MRS. MARY ELLEN STEPHENSON (NPI# 1831222363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831222363 |
Entity Type | Individual |
Full Name | MRS. MARY ELLEN STEPHENSON |
Credential | BSPT |
Practice Address |
502 W 5th St Mssd Skyview School #30 Mountain Grove MO 65711-1435 |
Mailing Address |
3338 Know It All Ln Rogersville MO 65742-7599 |
Practice Telephone | 4179264880 |
Practice Fax Number | 4179265044 |
Mailing Telephone | 4178606319 |
Enumeration Date | 2007-03-13 |
Last Update Date | 2017-05-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | 00476 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
00476 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
00476 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 1366582827 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376019125 | Mary K Stephenson | Case Manager/Care Coordinator | 801 E Washington St Ste 150, Medina, OH 44256-3336 | 2018-10-19 |
1336286640 | Mary S. Stephenson | Counselor | 8301 State Line Rd, Suite 203, Kansas City, MO 64114-2025 | 2007-01-30 |
1962512707 | Mary F Stephenson | Psychiatry & Neurology | 777 Bannock St, Mc 7782, Denver, CO 80204-4507 | 2006-08-30 |
1710998315 | Mary Diane Stephenson | Obstetrics & Gynecology | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2006-08-10 |
Street Address |
502 W 5TH ST MSSD SKYVIEW SCHOOL #30 |
City | MOUNTAIN GROVE |
State | MO |
Zip Code | 65711-1435 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912476300 | Spurling and White LLC | Nurse Practitioner | 100 W. 17th Street, Ste D, Mountain Grove, MO 65711 | 2018-11-15 |
1699255299 | Regional Services | Nurse Practitioner | 320 E 9th St, Mountain Grove, MO 65711 | 2018-08-14 |
1518342153 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 1604 C. North Main Street, Mountain Grove, MO 65711 | 2015-07-24 |
1265754501 | Texas County Memorial Hospital | Clinic/Center | 1905 West 19th Street, Mountain Grove, MO 65711 | 2010-02-26 |
1376679423 | Ozarks Medical Center | Clinic/Center | 500 East 19th Street, Suite A, Mountain Grove, MO 65711 | 2007-02-25 |
1508917949 | Connie Armstrong | Nurse Practitioner | 1604 N. Main, Mountain Grove, MO 65711 | 2007-01-14 |
1659474930 | Cheryl J Bell | Nurse Practitioner | 1602-a N. Main, Mtn. Grove, MO 65711 | 2006-09-05 |
1114035870 | Tommy Dean Todd | Dentist | 901 North Main, Mountain Grove, MO 65711 | 2006-08-25 |
1376505230 | Community Hospices of America, LLC | Hospice Care, Community Based | 1602c N Main St, Mountain Grove, MO 65711 | 2006-04-05 |
1972573699 | Mountain Grove Medical and Laser Center Inc | General Practice | 601 N Busch Ave, Mountain Grove, MO 65711 | 2006-01-25 |
Find all providers in zip 65711 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154951176 | Mighty Kids Pediatric Therapy | Physical Therapist | 829 Hwy 150, Lee's Summit, MO 64082-6408 | 2020-01-17 |
1609330372 | Kids Care Pediatric Therapies | Physical Therapist | 1948 S Glenstone Ave Ste 104, Springfield, MO 65804-2305 | 2019-01-28 |
1891249009 | Katherine Norrick | Physical Therapist | 1302 Beulah Dr, Festus, MO 63028-1039 | 2016-08-05 |
1003275918 | Christine Scheman | Physical Therapist | 4441 Chouteau Ave., Apt. 3316, St. Louis, MO 63110 | 2016-02-19 |
1275914905 | Alexandra Mazur | Physical Therapist | 5540 Shaw Ave, Saint Louis, MO 63110-2730 | 2015-06-18 |
1437410172 | Jennifer Ann Belden | Physical Therapist | 12215 Roger Ln, Saint Louis, MO 63131-4321 | 2012-05-30 |
1336426386 | Kesia Danner-bowman | Physical Therapist | 2898 S Eldon Ave, Springfield, MO 65807-5532 | 2011-11-04 |
1215227954 | Bethany Diane Adler | Physical Therapist | 1005 Yellowstone St, Nixa, MO 65714-8671 | 2011-04-14 |
1891962452 | Tiffany Lyn Mussman | Physical Therapist | 10015 N Ambassador Dr Ste 104, Kansas City, MO 64153-1437 | 2008-05-13 |
1104092147 | Melissa Joan Turner | Physical Therapist | 22103 S Walnut Bluff Rd, Pleasant Hill, MO 64080-9399 | 2008-04-30 |
Find all providers with the same taxonomy |
City | MOUNTAIN GROVE |
Zip Code | 65711 |
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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.