Karen M Stille, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

784 Issued in NE

Practice address

1409 Silver St
Ashland, NE 68003-1845

Phone

(402) 944-3505

NPI assigned

Aug 22, 2006

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.

• Lincoln Orthopedic Physical Therapy PC

  • Orthopedic Physical Therapist
  • Lincoln, NE
  • NPI 1598719353

  NE, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Lincoln Orthopedic Physical Therapy PC

  • Durable Medical Equipment & Medical Supplies
  • Lincoln, NE
  • NPI 1568837482

  Physical Therapist

  Care Compare group NPD
• Lincoln Orthopedic Physical Therapy PC

  • Durable Medical Equipment & Medical Supplies
  • Lincoln, NE
  • NPI 1679948590
  Care Compare group
• Lincoln Orthopedic Physical Therapy PC

  • Durable Medical Equipment & Medical Supplies
  • Lincoln, NE
  • NPI 1750756672
  Care Compare group

Specialty

Physical Therapist in Private Practice

Education

University of Nebraska College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lincoln Orthopedic Physical Therapy PC 47 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

• Ms. Karen M Kelley Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 3, 2018.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1508972795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 N 86TH ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685053719",
            "telephone_number": "402-484-7117",
            "fax_number": "402-484-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 SILVER ST",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680031845",
            "telephone_number": "402-944-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLE",
        "first_name": "KAREN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (RAILROAD)",
            "identifier": "650017043",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA",
            "identifier": "39697",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "KELLEY",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Ashland, NE
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.