Stacy Lousie Koushel, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00316800 Issued in NJ

Practice address

201 New Rd
Linwood, NJ 08221-1201

Phone

(609) 927-6131

NPI assigned

Jun 11, 2017

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

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": "1497139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497139200000",
    "number": "1326577461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 ALEXANDER DR",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083303002",
            "telephone_number": "609-226-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NEW RD",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211201",
            "telephone_number": "609-927-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUSHEL",
        "first_name": "STACY",
        "middle_name": "LOUSIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-11",
        "last_updated": "2017-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00316800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline A Kievit, LCSW
• Maria A Kleiber, M.D.
• Elizabeth S Klein, PA-C
• Victoria Kloster
• Mitchell N Kotler, M.D.
• Alyse Brooke Kovacsik, D.P.T.
• Susan Ruth Krantz, M.A. , R.D., C.D.E.
• Edward James Kryjer, OTR
• Elizabeth J Kull
• Kuponiyi Family Medicine

• Physical Therapy Assistant in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2017; 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.