Individual provider Active NPI

Teresa K Stachler, PT

  • Physical Therapist
  • Wapakoneta, OH
National Provider Identifier
1407080989
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11879 Issued in OH
Practice address
803 Brewfield Dr
Wapakoneta, OH 45895-9394
Phone
(419) 738-7763
Fax
(419) 738-4322
NPI assigned
May 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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 11879 OH Primary

Addresses

Primary practice location

803 Brewfield Dr
Wapakoneta, OH 45895-9394

Mailing address

676 Miami St
Tiffin, OH 44883-1934
Phone (419) 448-5533

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

LicenseStateTypeSpecialty
11879OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fabrehab Services, LLC Past Accepting new patients

Organizations & group practices 1

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": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1407080989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 MIAMI ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831934",
            "telephone_number": "419-448-5533",
            "fax_number": "419-448-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 BREWFIELD DR",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458959394",
            "telephone_number": "419-738-7763",
            "fax_number": "419-738-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACHLER",
        "first_name": "TERESA",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "11879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wapakoneta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.