Individual provider Active NPI

Everett Stook, P.T.

  • Physical Therapist
  • Hayesville, NC
National Provider Identifier
1174877922
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P14017 Issued in NC
Practice address
86 Valley Hideaway Dr
Hayesville, NC 28904-9674
Phone
(828) 389-9941
NPI assigned
Nov 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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 P14017 NC Primary

Addresses

Primary practice location

86 Valley Hideaway Dr
Hayesville, NC 28904-9674

Mailing address

216 Bo Cove Rd
Cullowhee, NC 28723-6927
Phone (828) 399-9970

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
P14017NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1174877922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 BO COVE RD",
            "city": "CULLOWHEE",
            "state": "NC",
            "postal_code": "287236927",
            "telephone_number": "828-399-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 VALLEY HIDEAWAY DR",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289049674",
            "telephone_number": "828-389-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOOK",
        "first_name": "EVERETT",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.