Active NPI
Stacy Dawn Sunderwirth-Caraway, P.T.
- Physical Therapist
- Kearney, MO
National Provider Identifier
1396861175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 01573
- Practice address
- 807 Blueberry Cir
Kearney, MO 64060-8233 - Phone
- (816) 903-3066
- Fax
- (816) 903-3066
- NPI assigned
- Mar 22, 2007
- Last updated
- Sep 30, 2007
- 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 Therapist | 225100000X | 01573 | MO | Primary |
Addresses
Primary practice location
807 Blueberry Cir
Kearney, MO 64060-8233
Mailing address
807 Blueberry Cir
Kearney, MO 64060-8233
Phone (816) 903-3066
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01573 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191110400000",
"number": "1396861175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 BLUEBERRY CIR",
"city": "KEARNEY",
"state": "MO",
"postal_code": "640608233",
"telephone_number": "816-903-3066",
"fax_number": "816-903-3066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 BLUEBERRY CIR",
"city": "KEARNEY",
"state": "MO",
"postal_code": "640608233",
"telephone_number": "816-903-3066",
"fax_number": "816-903-3066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDERWIRTH-CARAWAY",
"first_name": "STACY",
"middle_name": "DAWN",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "01573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearney, MO
- Brooke Stearns, PHARMD
- Samantha Jo Stokes, DC
- Mark D Strathman, D.C.
- Summers Pharmacy of Kearney, Corp. (Summers Pharmacy - Long Term Care)
- Summers Pharmacy of Kearney, Corp. (Summers Pharmacy)
- Susan Southworth, Psy.D. LLC
- Annah C Sybouts, FNP-C
- Terwilleger Therapy Team
- The Pelvic Place KC LLC
- Robert D Thomas, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.