Active NPI
Katarina Miljkovic Stuart, LMT
- Mechanotherapist
- Grants Pass, OR
National Provider Identifier
1124299151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 3503
- Practice address
- 215 SE 6TH St
Suite 305
Grants Pass, OR 97526-2404 - Phone
- (541) 326-2241
- NPI assigned
- Mar 18, 2008
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 3503 | OR | Primary |
Addresses
Primary practice location
215 SE 6TH St
Suite 305
Grants Pass, OR 97526-2404
Mailing address
215 SE 6TH St
Suite 305
Grants Pass, OR 97526-2404
Phone (541) 326-2241
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 |
|---|---|---|---|
| 3503 | OR | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1124299151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 SE 6TH ST",
"address_2": "SUITE 305",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975262404",
"telephone_number": "541-326-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 SE 6TH ST",
"address_2": "SUITE 305",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975262404",
"telephone_number": "541-326-2241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUART",
"first_name": "KATARINA",
"middle_name": "MILJKOVIC",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-18",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OR",
"license": "3503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.