NIESHA STEVENS (PTA) – Physical Therapy Assistant, NPI 1710435706

NIESHA STEVENS (PTA) is a healthcare provider. based in Macclenny, Florida. specializing in Physical Therapy Assistant. They hold the professional credentials PTA. They hold a License No. PTA1970 (FL). The NPI Number for NIESHA STEVENS (PTA) is 1710435706

Main info

Female
Sole Proprietor
Name
NIESHA STEVENS (PTA)
NPI
1710435706
Phone
(904) 444-9622
Address
PO BOX 33
Enumeration Date
19 September 2016
Last Update Date
11 March 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

Provider Addresses for NIESHA STEVENS (PTA)

  • PO BOX 33

    MACCLENNY, FL 320630033

    Phone: (904) 444-9622

    Type: Mailing

  • 3599 N CANAL RD

    MACCLENNY, FL 320634830

    Phone: (904) 444-9622

    Type: Location

  • 8911, Arbor Breeze Lane, Jacksonville, Duval County, Florida, 32222, United States

    JACKSONVILLE, FL 322221628

    Phone: (904) 444-9622

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 32063)

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Frequently asked questions

How do I look up NIESHA STEVENS (PTA) by NPI?
Use NPI 1710435706 when you need to reference NIESHA STEVENS (PTA) in forms, claims, or directories.
Is NIESHA STEVENS (PTA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is NIESHA STEVENS (PTA)?
The page reflects Physical Therapy Assistant for NIESHA STEVENS (PTA). Clinical services aligned with this taxonomy classification.
Where does public data place NIESHA STEVENS (PTA)?
The snapshot lists Macclenny, Florida for NIESHA STEVENS (PTA); download NPPES for the complete set.
What if Macclenny, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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