Individual provider Active NPI

Sara Stekoll, D.P.T.

  • Physical Therapist
  • Juneau, AK
National Provider Identifier
1366693608
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1996 Issued in AK
Practice address
3220 Hospital Dr Ste 101
Juneau, AK 99801-7899
Phone
(907) 364-2663
Fax
(907) 364-2662
NPI assigned
Oct 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1996 AK Primary

Addresses

Primary practice location

3220 Hospital Dr Ste 101
Juneau, AK 99801-7899

Mailing address

3220 Hospital Dr Ste 101
Juneau, AK 99801-7899
Phone (907) 364-2663

Other names 1

  • Sara Prudic Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1996AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Juneau Bone & Joint Center, LLC. PastSince Aug 1, 2007 Accepting new patients
Pleasants Integrative Health Consultants PastSince Aug 17, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1366693608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 HOSPITAL DR STE 101",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017899",
            "telephone_number": "907-364-2663",
            "fax_number": "907-364-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 HOSPITAL DR STE 101",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017899",
            "telephone_number": "907-364-2663",
            "fax_number": "907-364-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEKOLL",
        "first_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "PRUDIC",
            "credential": "D.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.