Individual provider Active NPI

Rhonda Stork, PT

  • Physical Therapist
  • Galena, KS
National Provider Identifier
1124357447
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
114435 Issued in MO
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211130000521 OK Practitioner - Physical Therapist in Private Practice 4789712092 Reassigns benefits to 1 organization
I20250922001379 TX Practitioner - Physical Therapist in Private Practice 4789712092 Reassigns benefits to 1 organization

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
Wyandotte NationGroup PAC ID 6406748367, 7 clinicians

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

LicenseStateTypeSpecialty
114435MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neo Orthopedic and Rehabilitation LLC Physical Therapist CurrentSince Sep 19, 2021 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.

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.

Verify at the official NPI Registry.