STEPHANIE HEROUX – Physical Therapist, NPI 1710443551

STEPHANIE HEROUX is a healthcare provider. based in Wakefield, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 24100 (MA). The NPI Number for STEPHANIE HEROUX is 1710443551

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE HEROUX
NPI
1710443551
Phone
(781) 245-0055
Address
414 MAIN ST
Enumeration Date
18 February 2019
Last Update Date
18 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7812450055
Graduation Year
2019 (7 years ago)
PAC ID
0648510479
Group Practice PAC ID
1052350394
Professional Enrollment ID
I20190314000519
Address ID
MA018803018WA414XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

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Provider Addresses for STEPHANIE HEROUX

  • Active Motion Physical Therapy, 414, Main Street, Wakefield Junction, Wakefield, Middlesex County, Massachusetts, 01880, United States

    WAKEFIELD, MA 018803018

    Phone: (781) 245-0055

    Fax: (781) 245-8855

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190314000519IPhysical Therapist In Private PracticeMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities43246$0
97535Training for self-care or home management, each 15 minutes23433$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2017$0
97161Evaluation for physical therapy, typically 20 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 01880)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052350394View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What NPI should I save for STEPHANIE HEROUX?
Save NPI 1710443551 if you need a stable reference for STEPHANIE HEROUX.
Is STEPHANIE HEROUX active in the national directory?
STEPHANIE HEROUX's public NPI profile is in an active state.
Does STEPHANIE HEROUX list a primary specialty?
If you are matching referrals, note Physical Therapist for STEPHANIE HEROUX. Clinical services aligned with this taxonomy classification.
Does STEPHANIE HEROUX practice in Massachusetts?
You will see Wakefield, Massachusetts on file for STEPHANIE HEROUX alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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