Kendra Stanaland, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

4019 Issued in OK

Practice address

1165 Brenner Rd
Sapulpa, OK 74066-6141

Phone

(918) 224-0600

NPI assigned

Mar 11, 2015

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

• Kendra Love Former name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Functional Pathways Preferred of Tennessee LLC

  • Physical Therapist
  • Knoxville, TN
  • NPI 1841561446

  OK

  Medicare reassignment NPD

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1336532639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3738 E 82ND CT",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741371603",
            "telephone_number": "918-851-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 BRENNER RD",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740666141",
            "telephone_number": "918-224-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANALAND",
        "first_name": "KENDRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "OK",
            "license": "4019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "LOVE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• St John Sapulpa, Inc.
• St. John Dialysis, LLC
• Peter Brice Stabnick, B.S.
• Brett E Stallings, D.D.S.
• Brian Stamile
• Michale Stanley
• Star Care Corporation
• Sophia Starr
• Eden Sky Steele
• Elijah K Stephens

• Geriatric Physical Therapist in Sapulpa, OK
• Providers in Sapulpa, OK by specialty
• Geriatric Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.

Verify at the official NPI Registry.