Individual provider Active NPI

Ryan Nickole Stukel, PT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1134159031
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1162059 Issued in TX
Practice address
12417 N Mo Pac Expy
Suite 575B
Austin, TX 78758-2475
Phone
(512) 821-1101
Fax
(512) 821-1071
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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 1162059 TX Primary

Addresses

Primary practice location

12417 N Mo Pac Expy
Suite 575B
Austin, TX 78758-2475

Mailing address

12417 N Mo Pac Expy
Suite 575B
Austin, TX 78758-2475
Phone (512) 821-1101

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1134159031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12417 N MO PAC EXPY",
            "address_2": "SUITE 575B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582475",
            "telephone_number": "512-821-1101",
            "fax_number": "512-821-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12417 N MO PAC EXPY",
            "address_2": "SUITE 575B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582475",
            "telephone_number": "512-821-1101",
            "fax_number": "512-821-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUKEL",
        "first_name": "RYAN",
        "middle_name": "NICKOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1162059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.

Verify at the official NPI Registry.