Stephanie Landis, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1331024 Issued in WI

Practice address

1020 Saint Albert the Great Dr
Sun Prairie, WI 53590-4425

Phone

(815) 761-4863

NPI assigned

Apr 4, 2016

Last updated

Apr 4, 2016By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Northwestern Medical Faculty Foundation

  dba Northwestern Medical Group

  • Multi-Specialty Clinic/Center
  • Carol Stream, IL
  • NPI 1346235314
  Medicare reassignment

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1346603669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SAINT ALBERT THE GREAT DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535904425",
            "telephone_number": "815-761-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SAINT ALBERT THE GREAT DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535904425",
            "telephone_number": "815-761-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "STEPHANIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "1331024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100028270",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy S Kuykendall, LCSW
• L & D Enterprises, Inc. (Prairie Counseling Services)
• Katelyn Danielle Labinski, OTR
• Victoria Lachapelle, LPN
• Lahman Chiropractic LLC (Elite Chiropractic)
• Kelly Landphier, RN
• Taylor M Lata, MD
• Alexa Le
• James Paul Leclair, PHD
• Calvin Lee

• Physical Therapist in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.