Luann Stull, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1000096 Issued in OH

Practice address

105 Atrium Dr
Middletown, OH 45005-5166

Phone

(513) 727-4590

NPI assigned

Jan 26, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1225744832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 MALLARD GLEN DR APT 4",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454583485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ATRIUM DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055166",
            "telephone_number": "513-727-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULL",
        "first_name": "LUANN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "100096",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "1000096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordon Streeter, LABORATORY DIRECTOR
• Jennifer Lynn Streibick, R.N.
• Kathryn L Streiff, LISW
• Tayler Stroup, LSW
• Holly Lynn Stuck, LPN
• Victoria Sturgill
• Brad William Sturgis, PT
• Stacey Cochran Styles, LSW
• Jason A Suda, OTRL
• Richard Leo Sulek, D.O.

• Physical Therapy Assistant in Middletown, OH
• Providers in Middletown, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.