Preston Joseph Stelly Jr., P.T., O.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT05159 Issued in LA

Practice address

522 Cypress St
Sulphur, LA 70663-5050

Phone

(337) 533-8410

Fax

(337) 533-8411

NPI assigned

Dec 21, 2006

Last updated

Jan 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stelly Physical Andoccupational TherapyGroup PAC ID 1153406210, 5 clinicians

Practice addresses (Care Compare)

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

• Stelly Physical &Occupational Therapy

  • Physical Therapist
  • Sulphur, LA
  • NPI 1689853343
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1205990439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635050",
            "telephone_number": "337-533-8410",
            "fax_number": "337-533-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635050",
            "telephone_number": "337-533-8410",
            "fax_number": "337-533-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLY",
        "first_name": "PRESTON",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.T., O.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT05159",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "1056738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica N Stanford, MA
• Star Haven Inc. (Sulphur Optical Shoppe)
• Tania Todorova Staykova-Tchakarova, MD
• Stelly Physical &Occupational Therapy
• Lucinda M. Stelly, R.PH.
• Lyle Robert Stephenson, MD
• Stephanie Ann Stevens
• Rachel Marie Stevenson, MA, BCBA, LBA
• Brian Wayne Stewart, MD
• Brennan Chance Stone

• Physical Therapist in Sulphur, LA
• Providers in Sulphur, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.