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

Mrs. Stephanie De Shano Wakeman, DPT

Individual provider Physical Therapist · NPI 1487879532

Mrs. Stephanie De Shano Wakeman, DPT is a Physical Therapist in Jacksonville, Florida. Licensed in Florida, Maryland, New Jersey and South Carolina. Registered with an NPI since 2007.

Licensed in
FL, MD, NJ, SC
In the registry since
2007
Specialties on file
4
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

13791 Saxon Lake Dr
Jacksonville, FL 32225-2624
Phone: (609) 306-9729
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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 35468 (FL)
Physical Therapist Taxonomy 225100000X · Licence 10037 (SC)
Physical Therapist Taxonomy 225100000X · Licence 27835 (MD)
Physical Therapist Taxonomy 225100000X · Licence 40QA01013200 (NJ)

Record details

NPI number1487879532
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 16, 2007
Last updated in NPPESJune 7, 2021
Certification dateMay 17, 2021

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