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

Stephanie Heroux

Individual provider Physical Therapist · NPI 1710443551

Stephanie Heroux is a Physical Therapist in Private Practice in Wakefield, Massachusetts. Qualified in 2019, 7 years ago. Practices with Active Motion Physical Therapy, an 8-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2019
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Practice location Address checks out

414 Main St
Wakefield, MA 01880-3018
Phone: (781) 245-0055
Fax: (781) 245-8855
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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 24100 (MA)

Record details

NPI number1710443551
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 18, 2019
Last updated in NPPESFebruary 18, 2019
Mailing address414 Main St, Wakefield, MA 01880-3018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Active Motion Physical Therapy — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wakefield