Individual provider Active NPI

Stacey Lee Thury, MPT

  • Physical Therapist
  • Miller, SD
National Provider Identifier
1184878951
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1037 Issued in SD
Practice address
300 W 5TH St
Miller, SD 57362-1238
Phone
(605) 853-2421
Fax
(605) 853-0333
NPI assigned
Nov 6, 2008
Last updated
Nov 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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 1037 SD Primary

Addresses

Primary practice location

300 W 5TH St
Miller, SD 57362-1238

Mailing address

20140 371St Ave
Wessington, SD 57381-6928
Phone (605) 458-2245

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
1037SDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1184878951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20140 371ST AVE",
            "city": "WESSINGTON",
            "state": "SD",
            "postal_code": "573816928",
            "telephone_number": "605-458-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 5TH ST",
            "city": "MILLER",
            "state": "SD",
            "postal_code": "573621238",
            "telephone_number": "605-853-2421",
            "fax_number": "605-853-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURY",
        "first_name": "STACEY",
        "middle_name": "LEE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.