Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Johanna Eicke Stephenson, PT3372

Individual provider Physical Therapist · NPI 1639969561

Dr. Johanna Eicke Stephenson, PT3372 is a Physical Therapist in Private Practice in Flowood, Mississippi. Qualified in 2001, 25 years ago. Practices with Specialized Physical Therapy, a 4-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
25
Licensed in
MS
In the registry since
2025
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Practice location Address checks out

533B Keyway Dr
Flowood, MS 39232-8809
Phone: (601) 420-0717
Fax: (601) 420-0957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT3372 (MS)

Record details

NPI number1639969561
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT3372
Sole proprietorNo
NPI enumeratedMay 12, 2025
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Specialized Physical Therapy — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Flowood