Active NPI
Cindy K Stark
- Physical Therapist
- Staunton, VA
National Provider Identifier
1205986478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1609 N Coalter St
Staunton, VA 24401-2552 - Phone
- (540) 886-4510
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1609 N Coalter St
Staunton, VA 24401-2552
Mailing address
226 Westminister Dr
Fishersville, VA 22939-2109
Phone (540) 941-5295
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2305203167 | Other | VA | LICENSE# |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236902400000",
"number": "1205986478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 WESTMINISTER DR",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392109",
"telephone_number": "540-941-5295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 N COALTER ST",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244012552",
"telephone_number": "540-886-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "CINDY",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2009-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "2305203167",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Staunton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.