STEPHNIE WEDDERBURN PT
NPI 1124202494
Physical Therapist in Lawrenceville, GA

Active since December 21, 2007Accepts Medicare Assignment
368 W PIKE ST, SUITE 204-A, LAWRENCEVILLE, GA 30045(770) 755-5278(770) 755-5682 Get Directions Write a Review

NPPES record last updated: December 21, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stephnie Wedderburn Pt NPPES

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

STEPHNIE WEDDERBURN PT (NPI 1124202494) is an individual physical therapist in Lawrenceville, Georgia, licensed in Georgia (PT003217) and active in the NPI registry since December 2007. She is a graduate of Other (1982).

NPPES Registry Identity

NPI1124202494
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameSTEPHNIE WEDDERBURNCredential: PT
Location Address368 W PIKE ST, SUITE 204-ALawrenceville, GA 30045-3240
Mailing Address368 W Pike St, Suite 204-aLawrenceville, GA 30045-3240 · (770) 755-5278 · Fax (770) 755-5682
Fax(770) 755-5682
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateDecember 21, 2007
✔ NPI 1124202494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in GA · PT003217
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
368 W PIKE ST, Lawrenceville, GA 30045

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephnie Wedderburn Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557731239
PECOS Enrollment IDI20221222000568

Medicare Billing Reassignment

Medicare enrollment records show Stephnie Wedderburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
260 PEACHTREE ST NW STE 2200
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 323 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
368 W PIKE ST, SUITE 202
LAWRENCEVILLE, GA 30045
Occupational Therapist
368 W PIKE ST, SUITE 204
LAWRENCEVILLE, GA 30045
Clinic/Center (Physical Therapy)
368 W PIKE ST, SUITE 204
LAWRENCEVILLE, GA 30045
Occupational Therapist
368 W PIKE ST, SUITE 204
LAWRENCEVILLE, GA 30045
Speech-Language Pathologist
368 W PIKE ST, SUITE 204
LAWRENCEVILLE, GA 30045
Durable Medical Equipment & Medical Supplies
368 W PIKE ST, SUITE 204 B
LAWRENCEVILLE, GA 30045
Occupational Therapist
368 W PIKE ST, SUITE 204
LAWRENCEVILLE, GA 30045
Case Management
368 W PIKE ST, STE. 202
LAWRENCEVILLE, GA 30045

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 Stephnie Wedderburn's NPI number?

The NPI number for Stephnie Wedderburn is 1124202494. It was assigned to this individual provider in the NPPES registry on December 21, 2007.

Where is Stephnie Wedderburn located?

Stephnie Wedderburn practices at 368 W Pike St Suite 204-A, Lawrenceville, GA 30045. The listed phone number is (770) 755-5278.

What is Stephnie Wedderburn's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Stephnie Wedderburn enrolled in Medicare?

Yes. Stephnie Wedderburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Stephnie Wedderburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephnie Wedderburn reassigns Medicare benefits to Georgia Luna Care Physical Therapy LLC (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephnie Wedderburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephnie Wedderburn was last updated on December 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.