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

Mr. Stephen Walter Donnellon

Individual provider Physical Therapist · NPI 1093985517

Mr. Stephen Walter Donnellon is a Physical Therapist in Private Practice in Anchorage, Alaska. Qualified in 1997, 29 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
29
Licensed in
AK
In the registry since
2008
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Practice location Address checks out

637 W 20th Ave
Anchorage, AK 99503-1837
Phone: (907) 347-0239
Fax: (956) 424-3535
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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 126336 (AK)

Record details

NPI number1093985517
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 12, 2008
Last updated in NPPESNovember 5, 2023
Certification dateNovember 5, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Anchorage