Individual provider Active NPI

Stephanie A Hornung, RPT

  • Physical Therapist
  • Dodge City, KS
National Provider Identifier
1477702249
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1103352 Issued in KS
Practice address
501 W Beeson Rd
Dodge City, KS 67801-5915
Phone
(615) 896-6400
NPI assigned
Sep 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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 1103352 KS Primary

Addresses

Primary practice location

501 W Beeson Rd
Dodge City, KS 67801-5915

Mailing address

102 Sill St
Spearville, KS 67876-8795
Phone (615) 896-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100109000362 KS Practitioner - Physical Therapist in Private Practice 1052452216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phillips Chiropractic PAGroup PAC ID 2365516713, 4 clinicians

Practice addresses (Care Compare)

2020 Central Ave
Dodge City, KS 67801-6411
Phone (620) 227-1170

2200 Summerlon Cir
Dodge City, KS 67801-2905
Phone (620) 225-4139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1103352KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phillips Chiropractic, PA CurrentSince Dec 1, 2009 Accepting new patients
Phillips Chiropractic P.a. Current Accepting new patients
Phillips Chiropractic P.a. Physical Therapist CurrentSince Dec 1, 2009 Accepting new patients

Locations

2200 Summerlon Cir
Ste D
Dodge City, KS 67801
Phone (620) 225-4139

1909 N 14th Ave
Ste C
Dodge City, KS 67801
Phone (620) 338-8633

Interoperability endpoints

  • Direct secure messaging: stephanie.hornung.1@15770.direct.athenahealth.com

Organizations & group practices 3

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": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1477702249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SILL ST",
            "city": "SPEARVILLE",
            "state": "KS",
            "postal_code": "678768795",
            "telephone_number": "615-896-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W BEESON RD",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678015915",
            "telephone_number": "615-896-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNUNG",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1103352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.