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

Jeremy Stephenson

Individual provider Physical Therapist · NPI 1215470125

Jeremy Stephenson is a Physical Therapist in Private Practice in Russell, Kentucky. Graduated from Jc Edwards School of Medicine, Marshall University in 2015, 11 years ago. Practices with Bodyworx Physical Therapy and Chiropractic Wellness Center PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Kentucky and West Virginia.

Years since qualifying
11
Trained at
Jc Edwards School of Medicine, Marshall University
Licensed in
KY, WV
In the registry since
2016
Specialties on file
2

Practice location Address checks out

1451 Diederich Blvd
Russell, KY 41169-1718
Phone: (606) 836-6683
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 006678 (KY)
Physical Therapist Taxonomy 225100000X · Licence 004165 (WV)

Record details

NPI number1215470125
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 24, 2016
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023
Mailing address1451 Diederich Blvd, Russell, KY 41169-1718

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolJC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated 2015 (11 years in practice)
Group practice Bodyworx Physical Therapy And Chiropractic Wellness Center Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Russell