Provider Demographics
NPI:1750893244
Name:MATTHEWS, STEPHANIE FELTIS (PT, DPT)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:FELTIS
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:KRISTIN
Other - Last Name:FELTIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1904 N CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-5632
Mailing Address - Country:US
Mailing Address - Phone:336-271-4840
Mailing Address - Fax:336-271-4941
Practice Address - Street 1:1904 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-5632
Practice Address - Country:US
Practice Address - Phone:336-271-4840
Practice Address - Fax:336-271-4941
Is Sole Proprietor?:No
Enumeration Date:2017-10-25
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP12003225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist