STEPHANIE KIM NIERENBERG (NPI# 1134556590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134556590 |
| Entity Type | Individual |
| Full Name | STEPHANIE KIM NIERENBERG |
| Credential | PT |
| Practice Address |
379 Pinehaven Street Ext Laurens SC 29360-2672 |
| Practice Telephone | 8649846584 |
| Practice Fax Number | 8649846464 |
| Mailing Telephone | 8649846584 |
| Mailing Fax Number | 8649846464 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
7173 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
379 PINEHAVEN STREET EXT |
| City | LAURENS |
| State | SC |
| Zip Code | 29360-2672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194760637 | Nhc Healthcare-laurens LLC | Skilled Nursing Facility | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2006-06-18 |
| 1639728066 | Audrey Jordan | Physical Therapist | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2019-09-09 |
| 1467926535 | Princess Boyd | Occupational Therapy Assistant | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2019-01-11 |
| 1134695448 | Kathy Stewart Lowman | Occupational Therapy Assistant | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2018-10-15 |
| 1053820423 | Sarah Anne Barnes | Occupational Therapist | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2017-09-28 |
| 1992240832 | Ta'niqua Jessica Harris | Occupational Therapist | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2017-01-02 |
| 1063818045 | Iris Boney | Occupational Therapist | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2014-11-18 |
| 1174923155 | Cari Spanton | Occupational Therapy Assistant | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2014-08-27 |
| 1376985101 | Allison Rosenthal Herrold | Speech-Language Pathologist | 379 Pinehaven Street Ext, Laurens, SC 29360 | 2013-07-22 |
| 1811337462 | Lanetra Green | Speech-Language Pathologist | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629564323 | Dj Healthcare Group | Counselor | 639 Sullivan Street, Laurens, SC 29360 | 2018-07-05 |
| 1770082158 | Carrie Abigail Culbertson | Counselor | 112 Henderson Lane, Laurens, SC 29360 | 2018-02-12 |
| 1508305186 | Amy Ledford Strickland | Nurse Practitioner | 22580 Highway 76 E Ste 300, Laurens, SC 29360 | 2017-02-16 |
| 1346785730 | Virginia Smith | Registered Nurse | 1035 West Main Street, Laurens, SC 29360 | 2016-12-21 |
| 1245774066 | Donna Gragg | Licensed Practical Nurse | 601 Lucas Ave, Laurens, SC 29360 | 2016-12-13 |
| 1174891840 | Lori Hilley West | Pharmacist | 1518 W. Main St., Laurens, SC 29360 | 2011-12-08 |
| 1841575701 | Lauren Allen Turner | Speech-Language Pathologist | 307 Pinehaven Street, Laurens, SC 29360 | 2011-10-11 |
| 1710217856 | Rachael Carroll | Occupational Therapy Assistant | 379 Pinehaven St Ext, Laurens, SC 29360 | 2010-01-13 |
| 1437384245 | Amy J Floyd | Occupational Therapy Assistant | 379 Pinehaven St. Ext, Laurens, SC 29360 | 2009-05-22 |
| 1275768228 | Laurens Electric Cooperative | Emergency Response System Companies | 2254 Hwy 14, Laurens, SC 29360 | 2009-05-20 |
| Find all providers in zip 29360 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689970774 | Shannon M Giglotti | Physical Therapist | 301 Pinehaven Street Ext, Laurens, SC 29360-2671 | 2011-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770931172 | Alida Mcgann | Physical Therapist | 206 Robinson St, Greenville, SC 29609-5433 | 2016-05-26 |
| 1992178644 | Michael Gerard Brophy | Physical Therapist | 811 Woodstone Dr, Apt G, Florence, SC 29501-5502 | 2015-11-03 |
| 1366833279 | Cindy Matthews-long | Physical Therapist | 828 Beltline Blvd, Columbia, SC 29205-2063 | 2015-02-13 |
| 1114321965 | Teresa Marie Jemming | Physical Therapist | 3300 Butterworth Cir, Sumter, SC 29154-9475 | 2014-10-21 |
| 1750784138 | Patrice Hazan | Physical Therapist | 845 Ne Main St, Simpsonville, SC 29681-2041 | 2014-09-30 |
| 1396007407 | Michele Acejo Bucayan | Physical Therapist | 335 Midland Pkwy, Summerville, SC 29485-8138 | 2012-06-14 |
| 1972885754 | Jacob Pierce Fleming | Physical Therapist | 27 Barnwood Cir, Greenville, SC 29607-5486 | 2011-09-16 |
| 1942594544 | Tp Holdings, LLC | Physical Therapist | 1795 N Highway 17, Suite 5, Mount Pleasant, SC 29464-3631 | 2011-06-01 |
| 1659518975 | Visio Perspectives Neuro Rehab Services LLC | Physical Therapist | 115 S Morris St, Lake City, SC 29560-2459 | 2009-01-08 |
| 1538329941 | Joshua J Canfield | Physical Therapist | 112 Tanglesworth Rd, Irmo, SC 29063-7905 | 2008-06-10 |
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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.