Individual provider Active NPI

Kathy Stegle, PT

  • Physical Therapist
  • Coal Valley, IL
National Provider Identifier
1538333877
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
11210 95TH St
Coal Valley, IL 61240-9360
Phone
(309) 799-3161
Fax
(309) 799-5904
NPI assigned
Apr 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL Primary

Addresses

Primary practice location

11210 95TH St
Coal Valley, IL 61240-9360

Mailing address

2601 Cobblestone CT
Cape Girardeau, MO 63701-8457
Phone (309) 799-3161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210823000147 MO Practitioner - Physical Therapist in Private Practice 4082019591 Reassigns benefits to 1 organization
I20210826002735 IL Practitioner - Physical Therapist in Private Practice 4082019591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.011470ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Missouri LLC Physical Therapist CurrentSince Aug 23, 2021 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Aug 23, 2021 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Aug 23, 2021 Accepting new patients
Empowerme Rehabilitation Missouri LLC Physical Therapist CurrentSince Aug 23, 2021 Accepting new patients

Locations

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1538333877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 COBBLESTONE CT",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637018457",
            "telephone_number": "309-799-3161",
            "fax_number": "309-799-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11210 95TH ST",
            "city": "COAL VALLEY",
            "state": "IL",
            "postal_code": "612409360",
            "telephone_number": "309-799-3161",
            "fax_number": "309-799-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGLE",
        "first_name": "KATHY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coal Valley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.