Individual provider Active NPI

Lauren Stockwell Huckstep, DPT

  • Physical Therapist
  • Eureka, MO
National Provider Identifier
1538501077
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2013040846 Issued in MO
Practice address
179 Eureka Towne Center Dr
Eureka, MO 63025-1031
Phone
(636) 206-6725
NPI assigned
Jul 25, 2013
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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 2013040846 MO Primary

Addresses

Primary practice location

179 Eureka Towne Center Dr
Eureka, MO 63025-1031

Mailing address

4273 Keaton Crossing Blvd
O Fallon, MO 63368-8220
Phone (636) 206-6540

Other names 1

  • Lauren C Stockell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140604001743 MO Practitioner - Physical Therapist in Private Practice 4385868785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axes Physical Therapy LLCGroup PAC ID 3375840028, 112 clinicians

Practice addresses (Care Compare)

53 Fenton PLZ
Fenton, MO 63026-4110
Phone (636) 493-8646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Axes Physical Therapy, LLC Physical Therapist CurrentSince Apr 19, 2022 Accepting new patients
Axes Physical Therapy, LLC Physical Therapist CurrentSince Apr 19, 2022 Accepting new patients

Locations

179 Eureka Towne Center Dr
Eureka, MO 63025
Phone (636) 206-6725

1155 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937

1195 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937

53 Fenton Plz
Fenton, MO 63026
Phone (636) 493-8646

4273 Keaton Crossing Blvd
O Fallon, MO 63368
Phone (636) 206-4225

4131 Union Rd
Saint Louis, MO 63129
Phone (314) 274-9222

21 Silo Dr
Union, MO 63084
Phone (636) 649-4131

Interoperability endpoints

  • Direct secure messaging: lauren.stockell.p2@direct.athleticoltd.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1538501077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 KEATON CROSSING BLVD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688220",
            "telephone_number": "636-206-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 EUREKA TOWNE CENTER DR",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251031",
            "telephone_number": "636-206-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCKSTEP",
        "first_name": "LAUREN",
        "middle_name": "STOCKWELL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2013040846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "STOCKELL",
            "middle_name": "C",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eureka, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.