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

Stephanie Kristen Tucker, PT, ATC, LAT

Individual provider Physical Therapist · NPI 1306736152

Stephanie Kristen Tucker, PT, ATC, LAT is a Physical Therapist in Private Practice in Southlake, Texas. Qualified in 1997, 29 years ago. Practices with Texas Luna Care Physical Therapy LLC, a 267-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
29
Licensed in
TX
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

180 State St Ste 225
Southlake, TX 76092-7632
Phone: (866) 839-6979
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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 1113017 (TX)

Record details

NPI number1306736152
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , ATC , LAT
Sole proprietorNo
NPI enumeratedJuly 3, 2025
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025

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)
Group practice Texas Luna Care Physical Therapy Llc — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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