Stout Therapy Services Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3076 Issued in NC

Legal business name

STOUT THERAPY SERVICES INC

Practice address

4203 South Church Street
Burlington, NC 27215

Phone

(336) 260-8469

Fax

(336) 584-5621

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Donald Graham Stout

Title

Business Manager

Phone

(336) 380-1935

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467517227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 881",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272530881",
            "telephone_number": "336-584-5621",
            "fax_number": "336-584-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 SOUTH CHURCH STREET",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "27215",
            "telephone_number": "336-260-8469",
            "fax_number": "336-584-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOUT THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "336-380-1935",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "3076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "078KW",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211244",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Lee Stogner, LCSW
• Scott Cooper Stoioff, M.D.
• Cecil Lamont Stokes
• Luke Stolitza, DC
• Hoyt Eday Stone III, PA-C
• Kelly Best Stout, RPH
• Ruth Dorffeld Stout, PT
• Taimyr Strachan-Louidor, LMFT, PHD
• Strategic Interventions, LLC
• Annamarie Streilein, PA-C

• Physical Therapist in Burlington, NC
• Providers in Burlington, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.