Individual provider Active NPI

Stacy Hostetter, PT

  • Physical Therapist
  • New Holland, PA
National Provider Identifier
1285648709
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012588 Issued in PA
Practice address
435 S Kinzer Ave
New Holland, PA 17557-8706
Phone
(717) 355-6241
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
PT012588PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Hand Therapy Center Physical Therapist Past Accepting new patients
Lancaster Contact Lens Inc Past Accepting new patients
Drevna-Hudson Physical Therapy Associates, P.C. Physical Therapist PastSince Aug 1, 2017 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT012588 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

435 S Kinzer Ave
New Holland, PA 17557-8706

Mailing address

136 Angela Dr
New Holland, PA 17557-9519

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285648709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 ANGELA DR",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175579519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S KINZER AVE",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175578706",
            "telephone_number": "717-355-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTETTER",
        "first_name": "STACY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT012588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Holland, PA

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.

Verify at the official NPI Registry.