STEFANIE ELIZABETH REID (DPT) – Physical Therapist, NPI 1962579292

STEFANIE ELIZABETH REID (DPT) is a healthcare provider. based in Brookfield, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5735024 (WI). The NPI Number for STEFANIE ELIZABETH REID (DPT) is 1962579292

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
STEFANIE ELIZABETH REID (DPT)
NPI
1962579292
Phone
(262) 784-6003
Address
840 Tanglewood Dr
Enumeration Date
30 November 2006
Last Update Date
4 June 2025

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
6232121040
Graduation Year
2016 (10 years ago)
PAC ID
8628163441
Group Practice PAC ID
3476440447
Professional Enrollment ID
I20240905004612
Address ID
AZ853263468BU865XXRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience89
Completeness75
Years active:19State licenses:4Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

Provider Addresses for STEFANIE ELIZABETH REID (DPT)

  • 840 Tanglewood Dr

    Brookfield, WI 530056850

    Phone: (262) 784-6003

    Type: Location

  • 14287 N 87TH ST STE 220

    SCOTTSDALE, AZ 852603698

    Phone: (480) 937-1000

    Type: Mailing

  • 865 S WATSON RD STE 118

    BUCKEYE, AZ 853263468

    Phone: (623) 212-1040

    Fax: (623) 212-1041

    Type: Location

  • 790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States

    BOLINGBROOK, IL 604404909

    Phone: (630) 296-2222

    Type: Mailing

  • 4740, Cherry Hill Road, Cherry Hill, College Park, Prince George's County, Maryland, 20740, United States

    COLLEGE PARK, MD 207401330

    Phone: (240) 965-0999

    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: 2024-09-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20071009000029IPhysical Therapist In Private PracticeWITBD
I20240905004612IPhysical Therapist In Private PracticeAZTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53005)

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Provider's Procedures

STEFANIE ELIZABETH REID (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYWI97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes8612

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: 3476440447View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAZ
-AZ
Occupational Therapist In Private PracticeAZ
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeAZ
-AZ
-AZ
Physical Therapist In Private PracticeAZ
-NC
Physical Therapist In Private PracticeAZ

Reviews

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Frequently asked questions

Is STEFANIE ELIZABETH REID (DPT) listed with a National Provider Identifier?
Yes — STEFANIE ELIZABETH REID (DPT) has NPI 1962579292 on file in the registry.
Would STEFANIE ELIZABETH REID (DPT) appear as active to a payer?
You can treat STEFANIE ELIZABETH REID (DPT) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with STEFANIE ELIZABETH REID (DPT)?
STEFANIE ELIZABETH REID (DPT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for STEFANIE ELIZABETH REID (DPT)?
Travel planning: use Brookfield, Wisconsin as the reference point for STEFANIE ELIZABETH REID (DPT), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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