Annette Stucky, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-01068 Issued in KS

Practice address

2311 S Kansas Rd
Newton, KS 67114-9032

Phone

(316) 283-7187

Fax

(316) 283-7189

NPI assigned

Feb 20, 2006

Sex

Female

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advanced PT of Newton, LLC

  dba Empower Physical Therapy

  • Physical Therapist
  • Newton, KS
  • NPI 1801043369
  NPD (past)
• Innovative Physical Therapy

  • Physical Therapist
  • Wichita, KS
  • NPI 1346372588
  NPD (past)

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1487629887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS",
            "address_2": "STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 S KANSAS RD",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149032",
            "telephone_number": "316-283-7187",
            "fax_number": "316-283-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKY",
        "first_name": "ANNETTE",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-01068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00385864",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200270060B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200270060D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Marie Stead
• Stephen D. Cranston, M.D.
• Janie Nicole Stephenson
• Brian Steventon
• Jonas Street
• Hailey Stucky, APRN
• Payton Fay Stucky, APRN
• Amy Stutzman, APRN
• Susan M Rohr Lscsw LLC
• Swanson Chiropractic PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.