Nicole R Stahl, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1402357 Issued in KS

Practice address

550 N Andover Rd
Andover, KS 67002-9712

Phone

(316) 202-0195

Fax

(316) 202-0196

NPI assigned

Sep 19, 2017

Last updated

Sep 19, 2017By the provider in NPPES

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": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1043739204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "13162630003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N ANDOVER RD",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029712",
            "telephone_number": "316-202-0195",
            "fax_number": "316-202-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "NICOLE",
        "middle_name": "R",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "1402357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sparks Eye Care LLC
• Rebecca C. Sparks, OD
• Hannah Speagle
• Spectrum Developmental Services Inc
• Sprout Speech Studio LLC
• Aimee Christine Steffan, LSCSW
• Steven a. Kuhl OD, LLC
• Stinemetz Chiropractic, Inc. (Andover Spine and Health Center)
• Jamie Lee Stinemetz, D.C.
• Michael Stratton, MA CFY SLP

• Physical Therapy Assistant in Andover, KS
• Providers in Andover, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; 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.