Individual provider Active NPI

Eli Stankee, PTA

  • Physical Therapy Assistant
  • Boca Raton, FL
National Provider Identifier
1255661575
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160.004786 Issued in IL
Practice address
5901 Broken Sound Pkwy Ste 500
Boca Raton, FL 33487-2791
Phone
(180) 087-5899
NPI assigned
Jan 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160.004786 IL Primary
Physical Therapy Assistant 225200000X PTA20840 FL
Physical Therapy Assistant 225200000X 2004035466 MO

Addresses

Primary practice location

5901 Broken Sound Pkwy Ste 500
Boca Raton, FL 33487-2791

Mailing address

817 Panoramic Dr
Camdenton, MO 65020-7117
Phone (417) 849-0268

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

LicenseStateTypeSpecialty
PTA20840FLMDPhysical Therapy Assistant
160.004786ILMDPhysical Therapy Assistant
2004035466MOMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1255661575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 PANORAMIC DR",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650207117",
            "telephone_number": "417-849-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 BROKEN SOUND PKWY STE 500",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872791",
            "telephone_number": "180-087-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANKEE",
        "first_name": "ELI",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.004786",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA20840",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2004035466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.