Nicole Stanko, P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT015429 Issued in PA

Practice address

625 Lincoln Ave
Professional Plaza Suite 107
Charleroi, PA 15022-2451

Phone

(724) 483-4886

Fax

(724) 483-0519

NPI assigned

Jun 30, 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 1

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.

• Orthopedic and Sports Physical Therapy Associates Inc OT

  • Occupational Therapist
  • California, PA
  • NPI 1952423774
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497784979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE",
            "address_2": "PROFESSIONAL PLAZA SUITE 107",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150222451",
            "telephone_number": "724-483-4886",
            "fax_number": "724-483-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE",
            "address_2": "PROFESSIONAL PLAZA SUITE 107",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150222451",
            "telephone_number": "724-483-4886",
            "fax_number": "724-483-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANKO",
        "first_name": "NICOLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT015429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015935850001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronda Lynn Schollaert, LSW
• Scott Daniel Seifert, DO
• Dana P Shaffer, PT
• Mukesh Vasantlal Shah, MD
• Southwestern Pennsylvania Area
• Lindsay M Syster, B.A.
• Scott P Szelong, DPT
• The Eyesight Center
• Thomas Family Dental II LLC
• George M Toohey, OD

• Specialist in Charleroi, PA
• Providers in Charleroi, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.