Individual provider Active NPI

Stephanie Kay Grams, CPTA

  • Physical Therapy Assistant
  • Manhattan, KS
National Provider Identifier
1174837975
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1401846 Issued in KS
Practice address
426 McCall Rd # a
Manhattan, KS 66502-5032
Phone
(785) 776-0670
Fax
(785) 776-0096
NPI assigned
Aug 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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 1401846 KS Primary

Addresses

Primary practice location

426 McCall Rd # a
Manhattan, KS 66502-5032

Mailing address

426 McCall Rd # a
Manhattan, KS 66502-5032
Phone (785) 776-0670

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
1401846KSMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Functional Performance Inc PastSince Jan 1, 2003 Accepting new patients

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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1174837975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 MCCALL RD # A",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665025032",
            "telephone_number": "785-776-0670",
            "fax_number": "785-776-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 MCCALL RD # A",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665025032",
            "telephone_number": "785-776-0670",
            "fax_number": "785-776-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMS",
        "first_name": "STEPHANIE",
        "middle_name": "KAY",
        "credential": "CPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "1401846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.