MRS. STEPHANIE LYNN DAVIDSON (NPI# 1235322769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235322769 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE LYNN DAVIDSON |
| Other Name | STEPHANIE LYNN STRACK |
| Credential | PT |
| Practice Address |
2603 W Pleasant Grove Rd Ste 104 Rogers AR 72758-5804 |
| Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
| Practice Telephone | 4796361187 |
| Practice Fax Number | 4796361197 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2015-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 2014038484 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | PT9349 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | PT 2892 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS-ANTHEM | USES NPI | 01 | |
| MO | MEDICARE PTAN | MA4370093 | 01 |
| OPTUM | 756620 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669971420 | Stephanie Davidson | Chiropractor | 414 Old Hard Rd Ste 106, Fleming Island, FL 32003-3407 | 2018-02-07 |
| 1255771010 | Stephanie Lynn Davidson | Marriage & Family Therapist | 600 W Santa Ana Blvd # 107-109, Santa Ana, CA 92701-4558 | 2013-06-26 |
| 1558692848 | Stephanie Ray Davidson | Nurse Practitioner | Vumc Allergy Pulmonary Critical, 1161 21st Ave S, Room T-1218 Mcn, Nashville, TN 37232-0001 | 2010-01-26 |
| 1417982190 | Stephanie Wilder Davidson | Social Worker | 133 Willow Lake Dr, Leesburg, GA 31763-5386 | 2006-07-11 |
| 1679119796 | Stephanie Davidson | Counselor | 3040 Holcomb Bridge Rd, Norcross, GA 30071-1377 | 2019-11-24 |
| 1912418336 | Stephanie Davidson | Speech-Language Pathologist | 10618 Breckenridge Dr, Little Rock, AR 72211-1802 | 2017-10-12 |
| 1447663661 | Stephanie M Davidson | Psychiatry & Neurology | 55 Fruit St., Massachusetts General Hospital, Boston, MA 02114 | 2014-06-05 |
| 1356535256 | Stephanie L. Davidson | Psychologist | 5743 Corsa Ave Ste 221, Westlake Village, CA 91362-6451 | 2007-09-04 |
| 1134199409 | Stephanie Lynn Davidson | Anesthesiology | 9127 W Russell Rd Ste 110, Las Vegas, NV 89148-1253 | 2006-01-26 |
| Street Address |
2603 W PLEASANT GROVE RD STE 104 |
| City | ROGERS |
| State | AR |
| Zip Code | 72758-5804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598714867 | Richard Trevor Davidson | Physical Therapist | 2603 W Pleasant Grove Rd, Ste 104, Rogers, AR 72758-5804 | 2006-05-06 |
| 1861928475 | Tyler David Daniels | Physical Therapist | 2603 W Pleasant Grove Rd, Rogers, AR 72758-5804 | 2017-05-03 |
| 1689079899 | Serc Rehabilitation Partners LLC | Clinic/Center | 2603 W Pleasant Grove Rd, Ste 104, Rogers, AR 72758-8514 | 2014-10-30 |
| 1205037611 | George Ryan Declerk | Family Medicine | 2603 W Pleasant Grove Rd, Suite 109, Rogers, AR 72758-5804 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| 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 |
|---|---|---|---|---|
| 1265045710 | Kathryn Magness | Physical Therapist | 5507 W Walsh Ln Ste 102, Rogers, AR 72758-8951 | 2020-08-25 |
| 1811526940 | Heather Ridenoure | Physical Therapist | 5103 S Grove Dr, Rogers, AR 72758-8817 | 2020-04-01 |
| 1669009049 | Keller Davis Sims | Physical Therapist | 2403 W Hudson Rd Ste, Ste 1, Rogers, AR 72756 | 2020-03-25 |
| 1376043182 | Wesley Edward Northey Iv | Physical Therapist | 325 S 45th St, Rogers, AR 72758-1632 | 2018-02-19 |
| 1639529084 | Brittany Dohmen | Physical Therapist | 19895 Maid Stone Way, Rogers, MN 55374-8946 | 2016-06-16 |
| 1841695038 | Amanda Myers | Physical Therapist | 17979 Stover Ln, Rogers, AR 72756-7928 | 2014-10-30 |
| 1275933996 | Ricky Matthew Melton | Physical Therapist | 2403 W Hudson Rd Ste 1, Rogers, AR 72756-2079 | 2014-08-29 |
| 1942612304 | Mackenzie Ann Rhea | Physical Therapist | 2603 W Pleasant Grove Rd Ste 104, Rogers, AR 72758-8514 | 2014-05-20 |
| 1447690201 | Richard Louis Gardner | Physical Therapist | 5001 W Pauline Whitaker Pkwy Ste 120, Rogers, AR 72758-7341 | 2013-06-26 |
| 1801133012 | Julie Allison Weinans | Physical Therapist | 24510 141st Ave N, Rogers, MN 55374-9320 | 2013-01-08 |
| Find all providers in ROGERS | ||||
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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.