Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Stefanie Depaul, PT, DPT, CSCS, RYT

Individual provider Physical Therapist · NPI 1104181650

Dr. Stefanie Depaul, PT, DPT, CSCS, RYT is a Physical Therapist in Private Practice in Stoneham, Massachusetts. Qualified in 2012, 14 years ago. Practices with Boston Health and Wellness LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
14
Licensed in
MA
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

62 Montvale Ave Ste Z
Stoneham, MA 02180-3600
Phone: (617) 843-5320
Fax: (774) 272-8474
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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 20089 (MA)

Record details

NPI number1104181650
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , CSCS , RYT
Sole proprietorYes
NPI enumeratedJuly 11, 2012
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Boston Health And Wellness Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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