Susan K Stank, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4943-024 Issued in WI

Practice address

2500 N Mayfair Rd
Suite 480
Wauwatosa, WI 53226-1409

Phone

(414) 475-6043

Fax

(414) 475-6098

NPI assigned

Jun 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wisconsin Bone & Joint S C

  • Orthopaedic Surgery Physician
  • Wauwatosa, WI
  • NPI 1831102540
  Medicare reassignment NPD
• Wisconsin Bone & Joint S C

  • Orthopaedic Surgery Physician
  • Glendale, WI
  • NPI 1760013890
  NPD

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1194751347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 NEWPORT DR",
            "address_2": "SUITE 401",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083832",
            "telephone_number": "847-797-1050",
            "fax_number": "847-797-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD",
            "address_2": "SUITE 480",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261409",
            "telephone_number": "414-475-6043",
            "fax_number": "414-475-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANK",
        "first_name": "SUSAN",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4943-024",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070010573",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen A Stabelfeldt, M.D.
• Brady Stadler, PT, DPT
• Chloe Stady, PA-C
• Nathan Staidl
• Dannie Stallworth, LPC-IT
• Rebecca Stapleton
• Kevin Staral
• Rachel Lee Stark, COTA
• Danielle Marie Starkey
• Julie Katherine Staskunas, FNP

• Physical Therapist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.