Kelly Stephens

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI000914 Issued in PA

Practice address

100 Dogwood Dr
Philipsburg, PA 16866-1982

Phone

(814) 342-8400

NPI assigned

Sep 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Burge Former name

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1285240291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 BLUE SPRUCE RD",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168668331",
            "telephone_number": "814-592-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DOGWOOD DR",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168661982",
            "telephone_number": "814-342-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI000914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "BURGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Smeal
• Kelly Snyder, D.O.
• Paula M Snyder, COTA
• Kellie Lynn Soltis, DPT
• Jolene Stell, PA
• Robert E Steward Jr., MD
• John Andrew Stewart, LPC
• Danielle Jean Stillarty
• Nancy K Stormer, CNM
• Pauline E Stout, ATR-BC, LPC

• Physical Therapy Assistant in Philipsburg, PA
• Providers in Philipsburg, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.