Ronald Dewey Stailey, PTA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

A10660 Issued in LA

Practice address

17094 Airline Hwy
Prairieville, LA 70769-3400

Phone

(225) 677-8400

Fax

(225) 677-8484

NPI assigned

Oct 27, 2020

Last updated

Oct 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Advantage Therapy Services, L.L.C.

  dba Advantage Therapy

  • Physical Therapist
  • Prairieville, LA
  • NPI 1356400345
  NPD

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1295335693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17094 AIRLINE HWY",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693400",
            "telephone_number": "225-677-8400",
            "fax_number": "225-677-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17094 AIRLINE HWY",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693400",
            "telephone_number": "225-677-8400",
            "fax_number": "225-677-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAILEY",
        "first_name": "RONALD",
        "middle_name": "DEWEY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "A10660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spectrum Therapy Solutions (Pediatric Therapy Solutions)
• Madison Spinosa
• St. Elizabeth Imaging Center, LLC
• St. Elizabeth Imaging LLC
• Stacy House Counseling
• Latawnya Stevenson-Evans, RN
• Dedra Stevenson, M.ED., CCC-SLP
• Kaelyn Storr, PT, DPT
• Syntropy Wellness, LLC.
• Markia Lashae Tasker

• Physical Therapist in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.