Individual provider Active NPI

Victoria Stollmer

  • Physical Therapist
  • Milton, MA
National Provider Identifier
1205477015
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24490 Issued in MA
Practice address
480 Adams St
Milton, MA 02186-4914
Phone
(617) 696-8141
NPI assigned
Oct 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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 24490 MA Primary

Addresses

Primary practice location

480 Adams St
Milton, MA 02186-4914

Mailing address

480 Adams St
Milton, MA 02186-4914
Phone (617) 696-8141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191015003045 MA Practitioner - Physical Therapist in Private Practice 8123359544 Reassigns benefits to 1 organization
I20230127000577 NY Practitioner - Physical Therapist in Private Practice 8123359544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

135 Clove Branch Rd
Hopewell Junction, NY 12533-6183
Phone (845) 592-4605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Oct 7, 2022 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Oct 7, 2022 Accepting new patients
Elliott Physical Therapy, Inc. Physical Therapist CurrentSince Sep 14, 2019 Accepting new patients

Locations

960 William T Morrissey Blvd
Dorchester, MA 02122
Phone (617) 506-7210

475 Adams St
Milton, MA 02186
Phone (617) 364-4380

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

135 Clove Branch Rd
Hopewell Junction, NY 12533
Phone (845) 223-7438

1955 Route 52
Hopewell Junction, NY 12533
Phone (845) 897-0170

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1205477015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 ADAMS ST",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021864914",
            "telephone_number": "617-696-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 ADAMS ST",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021864914",
            "telephone_number": "617-696-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLMER",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.