Stephanie Van Iderstine
Physical Therapy Assistant in East Longmeadow, Massachusetts
1710420104- Practice location
- 305 Maple St, East Longmeadow, MA 01028-2765
- Phone
- 413-525-6361
- Fax
- —
- Last updated
- December 2, 2016
Stephanie Van Iderstine is a Physical Therapy Assistant based in East Longmeadow, MA. Stephanie Van Iderstine practices in East Longmeadow, MA. The NPI Number for Stephanie Van Iderstine is 1710420104 and holds a License No. 9202 (MA). The current practice location address for Stephanie Van Iderstine is 305 Maple St, East Longmeadow, MA 01028-2765 and can be reached out via phone at 413-525-6361.
Provider Profile Details
- NPI Number
- 1710420104
- Provider Name
- Stephanie Van Iderstine
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 305 Maple St, East Longmeadow, MA 01028-2765
- Phone Number
- 413-525-6361
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- No
- Other Names
- -- Stephanie Pool (Former Name)
- Provider Enumeration Date
- December 2, 2016
- Last Update Date
- December 2, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 305 Maple St
East Longmeadow, MA 01028-2765 - City
- East Longmeadow
- State
- Massachusetts
- Zip
- 01028-2765
- Phone Number
- 413-525-6361
Provider Business Mailing Address Details
- Address
- 305 Maple St
East Longmeadow, MA 01028-2765 - City
- East Longmeadow
- State
- MA
- Zip
- 01028-2765
License Information
- License Number
- 9202
- License State
- MA
- Taxonomy
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapy Assistants near East Longmeadow, MA
View all Physical Therapy Assistants in East Longmeadow →- Adrean R HoushPhysical Therapy Assistant · NPI 1700375003
- Kevon ThompsonPhysical Therapy Assistant · NPI 1265002026
- Mrs. Izabella Wolanski, PTAPhysical Therapy Assistant · NPI 1043343809
- Mrs. Rogina A ModestowPhysical Therapy Assistant · NPI 1134410772
- Ms. Mary E Ginn, PTAPhysical Therapy Assistant · NPI 1871626655
- Patricia A EngemanPhysical Therapy Assistant · NPI 1275839524
Frequently Asked Questions
What is the NPI number of Stephanie Van Iderstine?
The NPI number of Stephanie Van Iderstine is 1710420104. It was assigned on December 2, 2016 and is currently active in the NPPES registry.
What is the specialty of Stephanie Van Iderstine?
Stephanie Van Iderstine is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 9202.
Where does Stephanie Van Iderstine practice?
The practice location is 305 Maple St, East Longmeadow, MA 01028-2765. The office can be reached at 413-525-6361 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710420104 directly on the NPPES registry website.