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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

STEPHANIE RENATE ELLIS LMBT7685
NPI 1043124811
Massage Therapist in Burgaw, NC

Active since September 29, 2026
111 E FREMONT ST RM 1, BURGAW, NC 28425(910) 431-3325 Get Directions Write a Review

NPPES record added: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Stephanie Renate Ellis Lmbt7685 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE RENATE ELLIS LMBT7685 (NPI 1043124811) is an individual massage therapist in Burgaw, North Carolina, licensed in North Carolina (07685) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1043124811
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSTEPHANIE RENATE ELLISCredential: LMBT7685
Location Address111 E FREMONT ST RM 1Burgaw, NC 28425-5244
Mailing Address255 Horseshoe LnBurgaw, NC 28425-8230 · (910) 431-3325
Phone(910) 431-3325
Sole ProprietorYes
Enumeration DateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1043124811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NC · 07685
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
111 E FREMONT ST RM 1, Burgaw, NC 28425
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Ellis's NPI number?

The NPI number for Stephanie Ellis is 1043124811. It was assigned to this individual provider in the NPPES registry on September 29, 2026.

Where is Stephanie Ellis located?

Stephanie Ellis practices at 111 E Fremont St Rm 1, Burgaw, NC 28425. The listed phone number is (910) 431-3325.

What is Stephanie Ellis's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Stephanie Ellis was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.