Provider Demographics
NPI:1679549042
Name:HELTON, STEPHEN C I (PT)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:C
Last Name:HELTON
Suffix:I
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:401 MEADOWLANDS DR STE 101
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-8134
Mailing Address - Country:US
Mailing Address - Phone:919-491-4248
Mailing Address - Fax:866-605-6675
Practice Address - Street 1:109 MILLSTONE DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-8642
Practice Address - Country:US
Practice Address - Phone:919-522-3976
Practice Address - Fax:919-751-9170
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2176225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0796XOtherBCBS INDIVIDUAL
NC7210845Medicaid
NC2503790Medicare ID - Type UnspecifiedINDIVIDUAL