Stephanie Renee Cline, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2001026963 Issued in MO

Practice address

3303 Frederick Ave
St. Joseph, MO 64506

Phone

(816) 364-3836

NPI assigned

Oct 2, 2006

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

Practice roles

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.

• United Cerebral Palsy of Northwest Missouri

  • Voluntary or Charitable Agency
  • Saint Joseph, MO
  • NPI 1003970567
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366535510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 EDMOND",
            "city": "ST. JOSEPH",
            "state": "MO",
            "postal_code": "645013235",
            "telephone_number": "816-364-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 FREDERICK AVE",
            "city": "ST. JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-364-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "STEPHANIE",
        "middle_name": "RENEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2001026963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert C Clark, M.D.
• Vickie J Clark, MSW PLCSW
• Tennyson Clary, LMSW, CADC, SQP
• Timothy Pat Clary, PA-C
• Conlyn Taylor Clay
• Sarah Clingan
• Christina Coalter, PHARMD
• Caitlin Joan Colescott, FNP-C
• Brent Bailey Colgan, MPT
• Cassie Collins

• Physical Therapy Assistant in St. Joseph, MO
• Providers in St. Joseph, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.