STEPHANIE MICHELLE O'MALLEY (NPI# 1649656802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649656802 |
| Entity Type | Individual |
| Full Name | STEPHANIE MICHELLE O'MALLEY |
| Credential | DPT |
| Practice Address |
1007 N 7th St Phoenix AZ 85006-2728 |
| Mailing Address |
3309 N 25th Pl Phoenix AZ 85016-7427 |
| Practice Telephone | 6029435472 |
| Mailing Telephone | 9285810667 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
13498PT | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT012014 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2170 Benton Blvd, #6307, Pooler, GA 31407 | 9285810667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053887034 | Stephanie Rose O'malley | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2018-10-17 |
| Street Address |
1007 N 7TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033478573 | Janelle Wong | Physical Therapist | 5314 N. 7th St., Phoenix, AZ 85014 | 2012-05-03 |
| 1013226182 | Joshua Bitton | Physical Therapist | 352 E Camelback Rd Ste 102, Phoenix, AZ 85012-1646 | 2010-10-06 |
| 1407164155 | Audra Pratt | Physical Therapist | 3214 W Louise Dr, Phoenix, AZ 85027-1627 | 2010-09-15 |
| 1043424922 | Dorcas Sue Ciskowski | Physical Therapist | 4503 E White Aster St, Phoenix, AZ 85044-6835 | 2007-05-09 |
| 1093928871 | Mellissa Leone Bayles | Physical Therapist | 455 North 3rd St Suite 200, Phoenix, AZ 85004 | 2007-05-08 |
| 1073725503 | Sara Beth Freberg | Physical Therapist | 18250 N 32nd Street, Unit 1003, Phoenix, AZ 85032 | 2007-05-04 |
| 1558587683 | Kids Instruction for Developmental Services, LLC | Physical Therapist | 726 W Aire Libre Ave, Phoenix, AZ 85023-7910 | 2007-04-17 |
| 1609917533 | Jennifer Christine Conti | Physical Therapist | 2601 E Thomas Rd, Suite 105, Phoenix, AZ 85016-8221 | 2007-02-12 |
| 1801950316 | Tamiko Hirasawa | Physical Therapist | 2726 E Acoma Dr, Phoenix, AZ 85032-4900 | 2006-12-20 |
| 1992351332 | Katie Chung | Physical Therapist | 4350 E Ray Rd, Phoenix, AZ 85044-4703 | 2019-08-12 |
| Find all providers in PHOENIX | ||||
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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.