Stephanie Storm, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

OO4823 Issued in IA

Practice address

708 S Jefferson Way
Indianola, IA 50125-3132

Phone

(515) 962-9555

NPI assigned

Feb 22, 2016

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": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1124487970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S JEFFERSON WAY",
            "address_2": "GOOD SAMARITAN",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501253132",
            "telephone_number": "515-962-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S JEFFERSON WAY",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501253132",
            "telephone_number": "515-962-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORM",
        "first_name": "STEPHANIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "OO4823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige N Skinner
• Candice N Smith, MD
• David A. Smith, DO
• Renee Staudacher, DO
• Amanda Stoner, DPT
• Courtney Lynn Struthers, D.D.S.
• Michael Sutcliffe, DO
• Sonya Swenzinski, OTD, OTR/L
• Michal Schippers Taylor, CNA
• The Evangelical Lutheran Good Samaritan Society

• Physical Therapy Assistant in Indianola, IA
• Providers in Indianola, IA by specialty
• Physical Therapy Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.