Provider Demographics
NPI:1720606577
Name:STEPPING STONES REHAB LLC
Entity Type:Organization
Organization Name:STEPPING STONES REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:STONEBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:901-833-5007
Mailing Address - Street 1:130 2ND STREET
Mailing Address - Street 2:
Mailing Address - City:ROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38066-3859
Mailing Address - Country:US
Mailing Address - Phone:901-833-5007
Mailing Address - Fax:901-522-5050
Practice Address - Street 1:130 2ND STREET
Practice Address - Street 2:
Practice Address - City:ROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38066-3859
Practice Address - Country:US
Practice Address - Phone:901-833-5007
Practice Address - Fax:901-522-5050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty