Provider Demographics
NPI:1407934367
Name:STEPPING STONE REHAB, INC.
Entity Type:Organization
Organization Name:STEPPING STONE REHAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANDRUS
Authorized Official - Last Name:ROLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:828-692-1176
Mailing Address - Street 1:538 N OAK ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-4126
Mailing Address - Country:US
Mailing Address - Phone:828-692-1176
Mailing Address - Fax:828-692-2109
Practice Address - Street 1:538 N OAK ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4126
Practice Address - Country:US
Practice Address - Phone:828-692-1176
Practice Address - Fax:828-692-2109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7210974Medicaid
NC7210974Medicaid