Staci Leann Fethkenher, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

02414 Issued in IA

Practice address

3930 Stadium Dr
Sioux City, IA 51106-5166

Phone

(712) 276-4325

Fax

(712) 276-6033

NPI assigned

Aug 25, 2008

Last updated

Aug 25, 2008By the provider in NPPES

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Multi Care Physicians Group PC

  • Occupational Health Chiropractor
  • Sioux City, IA
  • NPI 1457369639
  NPD (past)
• Sioux City Physical Therapy PC

  dba Sioux City Physical Therapy

  • Physical Therapist
  • Sioux City, IA
  • NPI 1346313996
  NPD (past)
• St Lukes Health Resources

  dba St Lukes Clinic Network

  • Family Medicine Physician
  • Sioux City, IA
  • NPI 1528001492
  NPD (past)
• Multi Care Physicians Group PC

  • Chiropractor
  • South Sioux City, NE
  • NPI 1952590226
  NPD (past)
• St Lukes Health Resources

  • Clinic/Center
  • Ponca, NE
  • NPI 1619932373
  NPD (past)
• St. Luke's Health Resources

  dba St. Luke's PT/OT Clinics

  • Physical Therapist
  • North Sioux City, SD
  • NPI 1255375556
  NPD (past)

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1194972968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 STADIUM DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511065166",
            "telephone_number": "712-276-4325",
            "fax_number": "712-276-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 STADIUM DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511065166",
            "telephone_number": "712-276-4325",
            "fax_number": "712-276-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETHKENHER",
        "first_name": "STACI",
        "middle_name": "LEANN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Rae Felts, ARNP
• MC Kenna C Fenton
• Daniela Ferrell, ARNP
• Kate Elizabeth Ferrell, MD
• Kelly Ferris, PHARMD
• Nevaeh Fetterman
• Claire Fettig, MOT, OTR/L
• Joshua Robert Feuerstein, RN
• Sharon K Fey, PA C
• Anna Rachelle Fisher, D.C.

• Physical Therapist in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.