Provider Demographics
NPI:1295828093
Name:STOKER, MARY FRANCIS (DPT)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:FRANCIS
Last Name:STOKER
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3260 OCEANIC BAY DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHPORT
Mailing Address - State:NC
Mailing Address - Zip Code:28461-6401
Mailing Address - Country:US
Mailing Address - Phone:910-393-9749
Mailing Address - Fax:910-250-1244
Practice Address - Street 1:3260 OCEANIC BAY DR
Practice Address - Street 2:
Practice Address - City:SOUTHPORT
Practice Address - State:NC
Practice Address - Zip Code:28461-6401
Practice Address - Country:US
Practice Address - Phone:910-393-9749
Practice Address - Fax:910-250-1244
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2060225100000X
NCP9351225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC711904Medicaid
NC711904Medicaid