Katherine Stam, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

82254122401 Issued in UT

Practice address

100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Phone

(801) 622-4980

NPI assigned

May 22, 2012

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1205196482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S DAVIS BLVD",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840101811",
            "telephone_number": "801-520-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARIO CAPECCHI DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841131103",
            "telephone_number": "801-622-4980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 S Davis Blvd",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840101811",
            "country_code": "US",
            "telephone_number": "801-520-4888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Albion Village Way",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840704013",
            "country_code": "US",
            "telephone_number": "801-520-4888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAM",
        "first_name": "KATHERINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "82254122401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jadrienne Stalder
• Katharine Staley
• Elizabeth M Stallings, CSUDC
• Grace Stallings
• Sarah Sherri Stalpes
• Ana Vitoria Stamoglou Soares
• Jennifer T. Stamp, MD
• Laura Stamp
• Jennifer A Stamper, SLP
• Shaydell Ann Stamper, LMT

• Physical Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.