Stacie C Schreibeis, P.T.A., A.T.C.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160045502 Issued in WA

Practice address

11915 E Broadway Ave
101
Spokane Valley, WA 99206-4997

Phone

(509) 228-9404

Fax

(509) 228-9403

NPI assigned

Apr 12, 2006

Last updated

Apr 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Stacie C. Visser Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1518921154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11915 E BROADWAY AVE",
            "address_2": "101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064997",
            "telephone_number": "509-228-9404",
            "fax_number": "509-228-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11915 E BROADWAY AVE",
            "address_2": "101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064997",
            "telephone_number": "509-228-9404",
            "fax_number": "509-228-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREIBEIS",
        "first_name": "STACIE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "P.T.A., A.T.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160045502",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "PTA-2497",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIE",
            "last_name": "VISSER",
            "middle_name": "C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Schnieder, RN
• Kayley Schoentrup
• Heidi Schoonover
• Tammera Schrader, CDP
• Stephen Schrater
• Emily Elizabeth Schreiner, CCC-SLP
• Marissa Schremser
• Joyce E Schroeder
• Laura Marie Schrotenboer, MS, LMHC, MHP, CMHS
• Charles Robert Schuerer, CDP

• Physical Therapy Assistant in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.