Active NPI
Kevin Andrew Stanton, PT, DPT
- Physical Therapist
- Wolfeboro, NH
National Provider Identifier
1316212152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3643
- Practice address
- 16 Lehner St
2ND Floor
Wolfeboro, NH 03894-4469 - Phone
- (603) 569-7972
- Fax
- (603) 569-7973
- NPI assigned
- Mar 13, 2012
- Last updated
- Mar 13, 2012
- Sex
- Male
- 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 | 3643 | NH | Primary |
Addresses
Primary practice location
16 Lehner St
2ND Floor
Wolfeboro, NH 03894-4469
Mailing address
PO Box 448
Wolfeboro Falls, NH 03896-0448
Phone (603) 569-7972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130903000168 | NH | Practitioner - Physical Therapist in Private Practice | 4183867674 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3643 | NH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Health Nutrition, PLLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Registered Dietitian
- Colchester, VT
- NPI 1205103017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331596800000",
"number": "1316212152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 448",
"city": "WOLFEBORO FALLS",
"state": "NH",
"postal_code": "038960448",
"telephone_number": "603-569-7972",
"fax_number": "603-569-7973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 LEHNER ST",
"address_2": "2ND FLOOR",
"city": "WOLFEBORO",
"state": "NH",
"postal_code": "038944469",
"telephone_number": "603-569-7972",
"fax_number": "603-569-7973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANTON",
"first_name": "KEVIN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-13",
"last_updated": "2012-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "3643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wolfeboro, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.