Teresa Stine, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0513 Issued in SD

Practice address

224 Elk St
Rapid City, SD 57701-7359

Phone

(605) 755-7710

NPI assigned

Jan 9, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1356858575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 LINCOLN DR",
            "city": "ELLSWORTH AFB",
            "state": "SD",
            "postal_code": "577066100",
            "telephone_number": "217-556-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 ELK ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017359",
            "telephone_number": "605-755-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINE",
        "first_name": "TERESA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SD",
            "license": "0513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SDBMOE PTA LICENSE",
            "identifier": "0516",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaycie Stewart, CRNA
• Sarah Jeanenne Stewart, M.S.ED.
• Jennifer A Stiles, RN
• April Stilwell
• Kyla A Stilwell, CNP
• Todd Stock, RPT
• Autumn Stocking, BCABA
• Darcey J Stockland, MD
• Cynthia Ann Stocks, CNP
• Steven C Stocks, MD

• Physical Therapy Assistant in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Physical Therapy Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.