Kendra Sokolowski, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2019039403 Issued in MO

Practice address

300 Floyd Dr
Sikeston, MO 63801-3960

Phone

(573) 472-0397

NPI assigned

Mar 25, 2022

Sex

Female

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.

• Kenny Rogers Children'S Center

  • Occupational Therapy Assistant
  • Sikeston, MO
  • NPI 1013026194

  Physical Therapy Assistant

  NPD (past)
• Mercy Clinic Children'S Surgery, LLC

  • Pediatric Surgery Physician
  • St. Louis, MO
  • NPI 1649349804
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

• Kendra Stinnett Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 25, 2022.

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1508516337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FLOYD DR",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638013960",
            "telephone_number": "573-472-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FLOYD DR",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638013960",
            "telephone_number": "573-472-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOLOWSKI",
        "first_name": "KENDRA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2019039403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO PTA LICENSE",
            "identifier": "2019039403",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "STINNETT",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Raymond Earl Sisk
• Smith Street Medical Clinic
• Amber Danielle Smith, RN
• Zachary Gerard Smith, PHARMD
• Rebecca Ann Snyder, PTA
• South Scott County Ambulance
• Southeast Health Center of Stoddard County LLC
• Southeast Missouri Health Network
• Southeast Missouri Health Network
• Southeast Missouri Health Network

• All providers in Sikeston, MO
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.