MEDICARE: STEPHANIE MASSE DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT38112	FL

General Provider Information

NPI Number	:	1831858695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE MASSE DPT

Provider Business Mailing Address
First Line	:	300 REX AVE APT 1
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-2064
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1180 SPRING CENTRE SOUTH BLVD
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-1974
Country	:	US
Telephone Number	:	877-564-5002
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2021
Last Update Date	:	08/08/2025

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