Dawn Larae Stephens, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-02001 Issued in KS

Practice address

135 W 6TH St Ste 8
Colby, KS 67701-2355

Phone

(785) 460-7848

Fax

(785) 460-7849

NPI assigned

Jun 22, 2005

Reactivated

Jul 1, 2005

Last updated

Apr 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Kansas Physical Therapy, LLC

  • Physical Therapist
  • Stockton, KS
  • NPI 1720089774
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1417953738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W 6TH ST STE 8",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677012355",
            "telephone_number": "785-460-7848",
            "fax_number": "785-460-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W 6TH ST STE 8",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677012355",
            "telephone_number": "785-460-7848",
            "fax_number": "785-460-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "DAWN",
        "middle_name": "LARAE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2018-04-30",
        "deactivation_date": "2005-06-30",
        "reactivation_date": "2005-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "10325",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORK COMP",
            "identifier": "61143300",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100319840C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00183406",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "140660",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary D Slavens, MD
• Carla Sloan-Brown, M.S., LCP
• Randall D Smith, RPH.
• Scott Smith, PHARM.D.
• Amanda M Sowers, LMSW, LAC
• Christine Summers, APRN, CNM-I
• Mandee Lee Sundquist
• Darrell Surmeier, PTA
• Donna Swager, CPTA
• Hannah Taylor, PHARMD

• Physical Therapist in Colby, KS
• Providers in Colby, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.