Active NPI
Rhonda Stork, PT
- Physical Therapist
- Galena, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 114435
- Practice address
- 444 Four States Dr
Ste 1
Galena, KS 66379-4325 - Phone
- (620) 783-4441
- Fax
- (620) 783-4090
- NPI assigned
- Dec 15, 2009
- Last updated
- Dec 30, 2011
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 114435 | MO | Primary |
Addresses
Primary practice location
444 Four States Dr
Ste 1
Galena, KS 66379-4325
Mailing address
PO Box 2546
Joplin, MO 64803-2546
Phone (620) 783-4441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Turtle Dr
Wyandotte, OK 74370-2114
Phone (918) 678-2282
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114435 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neo Orthopedic and Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Orthopaedic Specialists of the Four States LLC | Past | Accepting new patients |
Locations
2123 S Main St
Ste F
Grove, OK 74344
2225 N Main St
Miami, OK 74354
Phone (918) 542-4101
116 S Wilson St
Vinita, OK 74301
Phone (918) 256-6459
1 Turtle Dr
Wyandotte, OK 74370
Phone (918) 678-2282
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bearskin Health Clinic
- Family Medicine Physician
- Wyandotte, OK
- NPI 1124185517
TX
-
dba NEO Orthopedics and Rehabilitation LLC
- Physical Therapist
- Miami, OK
- NPI 1720153638
-
dba Ortho4States DME
- Durable Medical Equipment & Medical Supplies
- Pittsburg, KS
- NPI 1467799106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325203200000",
"number": "1124357447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2546",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648032546",
"telephone_number": "620-783-4441",
"fax_number": "620-783-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 FOUR STATES DR",
"address_2": "STE 1",
"city": "GALENA",
"state": "KS",
"postal_code": "663794325",
"telephone_number": "620-783-4441",
"fax_number": "620-783-4090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORK",
"first_name": "RHONDA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-15",
"last_updated": "2011-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "114435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galena, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.