Dr. Stephanie Kim Nierenberg
Physical Therapist - Geriatrics
4034 Schirra Dr
Jacksonville
, Florida 32277-1727
Dr. Stephanie Kim Nierenberg
Physical Therapist - Geriatrics
4034 Schirra Dr
Jacksonville
, Florida 32277-1727
(904) 859-8103
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Dr. Stephanie Kim Nierenberg
- 4034 Schirra Dr
- Jacksonville, FL
- Zip : 32277-1727
- Phone : (904) 859-8103
Second Address
- Dr. Stephanie Kim Nierenberg
- 4034 Schirra Dr
- Jacksonville, FL
- Zip : 32277-1727
- Phone : (904) 859-8103
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2251G0304X | Physical Therapist - Geriatrics | 7173 | SC |
| Y | 2251G0304X | Physical Therapist - Geriatrics | PT28524 | FL |
National Provider Identifier
| NPI | 1134556590 |
|---|---|
| Provider Name | Dr. Stephanie Kim Nierenberg |
| First Address | Jacksonville, FL 32277-1727 |
| Second Address | Jacksonville, FL 32277-1727 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/10/2013 |
| Last Update Date | 01/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.