Denise M Stanley, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

AT 774 Issued in CA

Practice address

1191 Creston Rd Ste 115
Paso Robles, CA 93446-3033

Phone

(805) 239-3696

NPI assigned

Feb 13, 2009

Last updated

Feb 13, 2009By the provider in NPPES

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

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": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1548409527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 TANNER DR",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934461810",
            "telephone_number": "805-238-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 CRESTON RD STE 115",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934463033",
            "telephone_number": "805-239-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "DENISE",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "AT 774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelleigh Sorenson, FNP-C
• Tommy Stephen Specht, DDS
• A. Keyla Springe, D.D.S.
• Sarah Elizabeth Stafford, BPHARM
• Macey Stancliff
• Kristin Lynn Stanley
• Donald L Stanton, M.D.
• William M Stefanek, DDS
• Lorraine E Stege, NP
• Steven G. Johnson Dental Corp (Johnson Family Dental)

• Physical Medicine & Rehabilitation Physician in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.