Sonya Ann Stutzman, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.005574 Issued in IL

Practice address

13609 California Street
Aureus Medical
Omaha, NE 68154

Phone

(402) 891-1118

Fax

(402) 895-7812

NPI assigned

May 9, 2013

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 names 1

• Sonya Tatum 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": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1528403151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ARGO ST APT D",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615713257",
            "telephone_number": "309-267-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13609 CALIFORNIA STREET",
            "address_2": "AUREUS MEDICAL",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68154",
            "telephone_number": "402-891-1118",
            "fax_number": "402-895-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTZMAN",
        "first_name": "SONYA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.005574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONYA",
            "last_name": "TATUM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenneth Paul Stuthman
• Stephanie Stuthman
• Jean Stuto, LMHP
• Emma Stutzman
• Ryan R Stutzman
• Lah Phoenix Su
• Ma Chit Su
• Shee Su
• Yungpo B Su, MD
• Abbey Sualy

• Physical Therapy Assistant in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.