Stephen Robert Loomis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16764 Issued in MA

Practice address

305 Hokum Rock Rd
South Dennis, MA 02660-2357

Phone

(508) 385-1900

Fax

(508) 546-3050

NPI assigned

Apr 2, 2007

Last updated

Nov 30, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Activecare Physical Therapy Associates, LLC

  • Physical Therapy Clinic/Center
  • South Dennis, MA
  • NPI 1083833966
  Authorized official Same address or phone
• Thrive Wellness LLC

  dba Thrive Total Body Wellness

  • Physical Therapist
  • S Dennis, MA
  • NPI 1932853298
  NPD

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1437270089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 HOKUM ROCK RD",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026602357",
            "telephone_number": "508-385-1900",
            "fax_number": "508-546-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 HOKUM ROCK RD",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026602357",
            "telephone_number": "508-385-1900",
            "fax_number": "508-546-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "STEPHEN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "16764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Carole Kienstra, DPT
• David Kilgallon, LICSW
• Kindred Nursing Centers East, L.L.C. (Kindred Transitional Care and Rehabilitation-Eagle Pond)
• Bradford Russell Klaucke, D.C.
• Amy Beth Koff, M.D.
• Josephina Lopez-Brown
• Robert M Lynch, D.M.D.
• Elaine Marie Mach
• Megan L Mann, PT
• Mary Louise Doyle

• Physical Therapist in South Dennis, MA
• Providers in South Dennis, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.