Active NPI
Stephanie Layne Pfortmiller, PTA
- Physical Therapy Assistant
- Stockton, KS
National Provider Identifier
1023326113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 14-02012
- Practice address
- 315 S Ash St
Stockton, KS 67669-2136 - Phone
- (785) 425-7129
- NPI assigned
- Sep 22, 2010
- Last updated
- Sep 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-02012 | KS | Primary |
Addresses
Primary practice location
315 S Ash St
Stockton, KS 67669-2136
Mailing address
315 S Ash St
Stockton, KS 67669-2136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-02012 | KS | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1023326113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 S ASH ST",
"city": "STOCKTON",
"state": "KS",
"postal_code": "676692136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S ASH ST",
"city": "STOCKTON",
"state": "KS",
"postal_code": "676692136",
"telephone_number": "785-425-7129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFORTMILLER",
"first_name": "STEPHANIE",
"middle_name": "LAYNE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-22",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KS",
"license": "14-02012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, KS
- Rodney Kent Hahn
- Carlee Lindsey, ATC
- Theresa Lynne Niblock, M.S. SLP
- Northwest Kansas Physical Therapy, LLC
- Leslie Nicole Olmstead, OTR
- Phillipsburg Chiropractic Center, PA (Stockton Chiropractic Center)
- Loral Lee Portenier, LCPC
- Revive Mental Health Solutions LLC
- Rooks County Health Center (Stockton Medical Clinic)
- Rooks County Health Center (Stockton Medical Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.