Active NPI
Stephanie Ann Purcell, PTA
- Physical Therapy Assistant
- Satanta, KS
National Provider Identifier
1376783803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA-428
- Practice address
- 401 Cheyenne
Satanta, KS 67870-8748 - Phone
- (620) 649-2761
- NPI assigned
- Feb 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA-428 | ID | Primary |
Addresses
Primary practice location
401 Cheyenne
Satanta, KS 67870-8748
Mailing address
1114 E Horsehaven Ave
Post Falls, ID 83854-6014
Phone (208) 284-2016
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-428 | ID | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235433600000",
"number": "1376783803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 E HORSEHAVEN AVE",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838546014",
"telephone_number": "208-284-2016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 CHEYENNE",
"city": "SATANTA",
"state": "KS",
"postal_code": "678708748",
"telephone_number": "620-649-2761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURCELL",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-24",
"last_updated": "2009-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "ID",
"license": "PTA-428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Satanta, KS
- Mercedes Sierra Fanning
- Christopher Jeff Gardner, FNP-C
- Myrna Louise Gumpenberger, ARNP
- Janet K. Kado, LMSW
- Kasey Jo Leverett
- Satanta Ambulance Service, Inc.
- Satanta District Hospital and Long-Term Care
- Satanta District Hospital and Long-Term Care
- Satanta District Hospital and Long-Term Care
- Satanta District Hospital and Long-Term Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.