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

Stephanie S Mack, PT

Individual provider Physical Therapist · NPI 1629076567

Stephanie S Mack, PT is a Physical Therapist in Private Practice in Woodland, California. Graduated from Howard University College of Medicine in 1996, 30 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
30
Trained at
Howard University College of Medicine
Licensed in
CA
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

475 Pioneer Ave Ste 400
Woodland, CA 95776-4905
Phone: (530) 406-5620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9100 S Sepulveda Blvd, Los Angeles, CA 90045-4814 — (310) 649-6470

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT22464 (CA)

Record details

NPI number1629076567
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 13, 2005
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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