Andrea Tapia Stamm, PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

7006 Issued in CO

Practice address

75 Manhattan Dr
Ste 101
Boulder, CO 80303-4254

Phone

(303) 819-4617

Fax

(720) 304-3523

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Integral Therapeutics, LLC

  • Physical Therapy Clinic/Center
  • Boulder, CO
  • NPI 1417169921
  NPD (past) Authorized official
• Cynthia Shiko Otr,CMT,LLC

  • Pediatric Occupational Therapist
  • Boulder, CO
  • NPI 1174742068
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184841793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 WHITE ROCK CIR APT C",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803016713",
            "telephone_number": "303-819-4617",
            "fax_number": "720-304-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MANHATTAN DR",
            "address_2": "STE 101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034254",
            "telephone_number": "303-819-4617",
            "fax_number": "720-304-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMM",
        "first_name": "ANDREA",
        "middle_name": "TAPIA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "7006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie S Stahl-Whitaker
• Elizabeth Ann Stahl, MA, LPC
• Chelsea Stallan
• Daniela Coral Stallings
• Allison Paige Stamm, M.A., CCC-SLP
• David Standerfer
• Dorte Stanek
• Lily Stanfield
• Rita Frances Stanford
• Christi Baggett Stanforth, LPC

• Physical Therapy Clinic/Center in Boulder, CO
• Providers in Boulder, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.