Active NPI
Marta Stumbras, PHYSICAL THERAPIST
- Physical Therapist
- Green Bay, WI
National Provider Identifier
1215134333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2017-024
- Practice address
- 2900 Curry LN
Green Bay, WI 54311-5857 - Phone
- (920) 468-1161
- Fax
- (920) 965-2653
- NPI assigned
- Jul 2, 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 | 2017-024 | WI | Primary |
Addresses
Primary practice location
2900 Curry LN
Green Bay, WI 54311-5857
Mailing address
2490 Morning Star CT
Green Bay, WI 54302-4306
Phone (920) 469-1659
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215134333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2490 MORNING STAR CT",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543024306",
"telephone_number": "920-469-1659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 CURRY LN",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543115857",
"telephone_number": "920-468-1161",
"fax_number": "920-965-2653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUMBRAS",
"first_name": "MARTA",
"name_prefix": "Ms.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "2017-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.