Active NPI
Carolyn Mary Stein, PTA
- Physical Therapy Assistant
- West Allis, WI
National Provider Identifier
1508030446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 607-019
- Practice address
- 8520 W Oklahoma Ave
West Allis, WI 53227-4604 - Phone
- (414) 607-4120
- NPI assigned
- Apr 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 607-019 | WI | Primary |
Addresses
Primary practice location
8520 W Oklahoma Ave
West Allis, WI 53227-4604
Mailing address
8520 W Oklahoma Ave
West Allis, WI 53227-4604
Phone (414) 607-4120
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40451900 | Medicaid | WI | |
| 607-019 | Other | WI | PHYSICAL THERAPY ASSISTANT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 607-019 | WI | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSH Summit LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1508030446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8520 W OKLAHOMA AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532274604",
"telephone_number": "414-607-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8520 W OKLAHOMA AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532274604",
"telephone_number": "414-607-4120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "CAROLYN",
"middle_name": "MARY",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "607-019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40451900",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY ASSISTANT LICENSE",
"identifier": "607-019",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.