Individual provider Active NPI

William David Stone, LPTA

  • Physical Therapy Assistant
  • Ocean Springs, MS
National Provider Identifier
1144762741
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA5405 Issued in MS
Practice address
900 Holcomb Blvd
Suite a
Ocean Springs, MS 39564-3903
Phone
(228) 872-6821
Fax
(228) 872-6891
NPI assigned
Nov 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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 PTA5405 MS Primary

Addresses

Primary practice location

900 Holcomb Blvd
Suite a
Ocean Springs, MS 39564-3903

Mailing address

900 Holcomb Blvd
Suite a
Ocean Springs, MS 39564-3903
Phone (228) 872-6821

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
PTA5405MSMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1144762741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HOLCOMB BLVD",
            "address_2": "SUITE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643903",
            "telephone_number": "228-872-6821",
            "fax_number": "228-872-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HOLCOMB BLVD",
            "address_2": "SUITE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643903",
            "telephone_number": "228-872-6821",
            "fax_number": "228-872-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "PTA5405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.