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

Individual provider Physical Therapy Assistant · NPI 1306103726

Stephanie Vandevelde, PTA is a Physical Therapy Assistant in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone: (920) 288-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1143 (WI)

Record details

NPI number1306103726
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 23, 2012
Last updated in NPPESApril 23, 2012

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