Thomas Gregory Stadler, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004388 Issued in KY

Practice address

106 Crossing Drive
Wilder, KY 41076

Phone

(859) 572-2360

Fax

(859) 441-1371

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

No

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.

• Orthocincy Orthopaedics & Sports Medicine

  • Physical Therapist
  • Edgewood, KY
  • NPI 1508845868
  NPD (past)
• Orthocincy Orthopaedics & Sports Medicine PSC

  • Orthopaedic Surgery Physician
  • Edgewood, KY
  • NPI 1598714560

  Physical Therapist

  NPD (past)
• St Elizabeth Medical Center, Inc

  • Community/Retail Pharmacy
  • Florence, KY
  • NPI 1104699453
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 14, 2017.

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1497745293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CROSSING DRIVE",
            "city": "WILDER",
            "state": "KY",
            "postal_code": "41076",
            "telephone_number": "859-572-2360",
            "fax_number": "859-441-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CROSSING DRIVE",
            "city": "WILDER",
            "state": "KY",
            "postal_code": "41076",
            "telephone_number": "859-572-2360",
            "fax_number": "859-441-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADLER",
        "first_name": "THOMAS",
        "middle_name": "GREGORY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700130100",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominic Edward Ruschman
• Madija J. Sandy, MSN, PMHNP
• Emily Ann Sherlock, BS
• Evan Michael Sims, OD
• Marisa Spears
• Petina Rachelle Strickley, CSW, MSW
• Sally J Sweeney
• Joann M Terry, P.T.
• Therapeutic Collaborative
• Therapeutic Collabortive

• All providers in Wilder, KY
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.