Carly Marie Stohr, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160006089 Issued in IL

Practice address

1000 E Brighton LN
Crystal Lake, IL 60012-2074

Phone

(815) 477-6400

NPI assigned

Aug 13, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1033466610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LELAND ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613503350",
            "telephone_number": "815-326-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E BRIGHTON LN",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600122074",
            "telephone_number": "815-477-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOHR",
        "first_name": "CARLY",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160006089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Mesmer & Associates, LLC
• Kristen Stewart, PHARMD
• Regina M Stilling, CNP
• William Arthur Stinson, MD
• Sarah Elizabeth Stitt, LCPC
• Hanna Stovall
• Tiffani L Strasburg
• Strelcheck Chiropractic Clinic LTD
• Daniel V Strelcheck Jr., DC
• Eric Michael Strieker

• Physical Therapy Assistant in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.