Thomas Stork

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

7155 80TH St S
Ste 140
Cottage Grove, MN 55016-3033

Phone

(651) 459-9686

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457460032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7123 THAMES RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253823",
            "telephone_number": "651-730-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 80TH ST S",
            "address_2": "STE 140",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163033",
            "telephone_number": "651-459-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORK",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "5128",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stak MN Services LLC
• Makenzie Lynn Steenerson, D.C.
• Nicole Alyse Steenerson, LMT
• Sara Catherine Stenger, LICSW
• Daniel J Stettler, L.AC.
• Ashley Rae Strand, PHARMD
• Strive Services LLC
• Nancy Lindberg Struthers, MD
• Emily Sullivan, RN, IBCLC
• Peggy Ann Sullivan, MD

• Physical Therapist in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.