Active NPI
Jenny Marie Stollmaier, PT
- Physical Therapist
- Milford, OH
National Provider Identifier
1245437862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009882
- Practice address
- 1110 Main St
Milford, OH 45150-1706 - Phone
- (513) 600-5164
- NPI assigned
- Jun 28, 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 | PT009882 | OH | Primary |
Addresses
Primary practice location
1110 Main St
Milford, OH 45150-1706
Mailing address
1110 Main St
Milford, OH 45150-1706
Phone (513) 600-5164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0616533 | Medicaid | OH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT009882 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1245437862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 MAIN ST",
"city": "MILFORD",
"state": "OH",
"postal_code": "451501706",
"telephone_number": "513-600-5164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 MAIN ST",
"city": "MILFORD",
"state": "OH",
"postal_code": "451501706",
"telephone_number": "513-600-5164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLLMAIER",
"first_name": "JENNY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-28",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT009882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0616533",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.