Kailey Willcutt Staggs, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

400 University Park Dr
Birmingham, AL 35209-6784

Phone

(659) 903-4513

NPI assigned

Dec 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kailey Grace Willcutt Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1114638483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 OLD WAGON RD",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351252448",
            "telephone_number": "205-532-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 UNIVERSITY PARK DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096784",
            "telephone_number": "659-903-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGGS",
        "first_name": "KAILEY",
        "middle_name": "WILLCUTT",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NetHealth",
            "affiliation": "N",
            "endpointDescription": "documentation system",
            "address_1": "400 University Park Dr",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352096784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAILEY",
            "last_name": "WILLCUTT",
            "middle_name": "GRACE",
            "credential": "LPTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Candace Jennette Staed, M.S.
• Anne Golden Stafford, M.D.
• Mark Stafford
• Laura Stafman, M.D.
• Justin Cole Staggs
• Kelsey Staggs
• Janie S. Stagner, M.D.
• Sergio Stagno, M.D.
• John Stahl
• Richard Stahl

• Physical Therapy Assistant in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Physical Therapy Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.