Individual provider Active NPI

Krista Stahl, PTA

  • Physical Therapy Assistant
  • Palm Beach Gardens, FL
National Provider Identifier
1134816119
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA31736 Issued in FL
Practice address
300 Avenue of the Champions Ste 100
Palm Beach Gardens, FL 33418-3615
Phone
(561) 223-3872
NPI assigned
Apr 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA31736 FL Primary

Addresses

Primary practice location

300 Avenue of the Champions Ste 100
Palm Beach Gardens, FL 33418-3615

Mailing address

4842 Brady LN
Palm Beach Gardens, FL 33418-5708
Phone (703) 785-9308

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

LicenseStateTypeSpecialty
PTA31736FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saylor Physical Therapy of Palm Beach Gardens LLC CurrentSince Apr 23, 2023 Accepting new patients

Locations

300 Avenue of the Champions
Ste 100
West Palm Beach, FL 33418
Phone (561) 223-3872

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1134816119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4842 BRADY LN",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334185708",
            "telephone_number": "703-785-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AVENUE OF THE CHAMPIONS STE 100",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183615",
            "telephone_number": "561-223-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "KRISTA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA31736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.