Active NPI
Lauren Michele Stoller, PTA
- Physical Therapy Assistant
- Canton, OH
National Provider Identifier
1386875250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 04908
- Practice address
- 1223 Market Ave N
Canton, OH 44714-2603 - Phone
- (330) 453-3458
- NPI assigned
- Jul 27, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 04908 | OH | Primary |
Addresses
Primary practice location
1223 Market Ave N
Canton, OH 44714-2603
Mailing address
2509 Clearview Ave NW
Canton, OH 44708-2548
Phone (330) 309-7103
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 |
|---|---|---|---|
| 04908 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248652800000",
"number": "1386875250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2509 CLEARVIEW AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447082548",
"telephone_number": "330-309-7103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 MARKET AVE N",
"city": "CANTON",
"state": "OH",
"postal_code": "447142603",
"telephone_number": "330-453-3458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLLER",
"first_name": "LAUREN",
"middle_name": "MICHELE",
"name_prefix": "Miss",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-27",
"last_updated": "2009-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "04908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
- Dionna T Stokes-Ellis
- Heather Ann Stokes, LPN
- Kelly Jean Stokes
- Kimberly Nicole Stokes, MOT, OTR/L
- Gina Marissa Stolicny, M.A. CCC-SLP
- Emmeline Stoltzfus
- Stone Crossing Assisted Living, LLC (Glenwood Assisted Living)
- Stone Crossing Management, LLC
- Stone Crossing Skilled Care, LLC
- Stone Crossing Skilled Care, LLC (Glenwood Care Assisted Living)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.