STEPHANIE HAUCK (PT, DPT) – Physical Therapist, NPI 1366112302

STEPHANIE HAUCK (PT, DPT) is a healthcare provider. based in Egg harbor township, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 40QA01938100 (NJ). The NPI Number for STEPHANIE HAUCK (PT, DPT) is 1366112302

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE HAUCK (PT, DPT)
NPI
1366112302
Phone
(609) 412-7258
Address
324 BLOSSOM CIR
Enumeration Date
20 September 2021
Last Update Date
20 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6093658499
Graduation Year
2020 (6 years ago)
PAC ID
7810370574
Group Practice PAC ID
8224214093
Professional Enrollment ID
I20220815000079
Address ID
NJ082212005LI314XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

4,954 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for STEPHANIE HAUCK (PT, DPT)

  • 324 BLOSSOM CIR

    EGG HARBOR TOWNSHIP, NJ 082345349

    Phone: (609) 412-7258

    Type: Mailing

  • 314 CENTRAL AVE

    LINWOOD, NJ 082212005

    Phone: (609) 365-8499

    Type: Location

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: 2022-08-15

PECOS data refreshed: 2026-06-15

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
I20220815000079IPhysical Therapist In Private PracticeNJTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,951226$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,156155$0
97140Therapy procedure using manual technique, each 15 minutes28787$0
97530Therapy procedure using functional activities24957$0
97150Therapy procedure in a group setting203121$0
View full utilization report →

Insurance plans in this area (ZIP 08234)

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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: 8224214093View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
-NJ
-NJ
Qualified Speech Language PathologistNJ
Occupational Therapist In Private PracticePA

Reviews

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Frequently asked questions

What federal number belongs to STEPHANIE HAUCK (PT, DPT)?
The federal identifier for STEPHANIE HAUCK (PT, DPT) is NPI 1366112302.
Is STEPHANIE HAUCK (PT, DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does STEPHANIE HAUCK (PT, DPT) treat or focus on?
Patients typically see STEPHANIE HAUCK (PT, DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for STEPHANIE HAUCK (PT, DPT)?
The page summarizes Egg Harbor Township, New Jersey for STEPHANIE HAUCK (PT, DPT); expand the address list for detail.
Is STEPHANIE HAUCK (PT, DPT) a real provider?
This page reflects official NPPES data for NPI 1366112302. Always confirm identity and privileges with the practice and licensing boards.

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