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

Dr. Stephanie Kim Nierenberg, PT

Individual provider Geriatric Physical Therapist · NPI 1134556590

Dr. Stephanie Kim Nierenberg, PT is a Geriatric Physical Therapist in Jacksonville, Florida. Works from 2 locations. Licensed in Florida and South Carolina.

Licensed in
FL, SC
In the registry since
2013
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4034 Schirra Dr
Jacksonville, FL 32277-1727
Phone: (904) 859-8103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 379 Pinehaven Street Ext, Laurens, SC 29360-2672 — (864) 984-6584

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence PT28524 (FL)
Geriatric Physical Therapist Taxonomy 2251G0304X · Licence 7173 (SC)

Record details

NPI number1134556590
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 1, 2013
Last updated in NPPESSeptember 1, 2021
Certification dateSeptember 1, 2021

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