Stacy Ann Oetting, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1102938 Issued in KS

Practice address

8437 State Ave
Ste B
Kansas City, KS 66112-1842

Phone

(913) 299-9616

Fax

(913) 299-9617

NPI assigned

Apr 9, 2008

Last updated

May 13, 2016By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Physical Therapy and Sports Rehabilitation, P.a.

  • Physical Therapy Clinic/Center
  • Kansas City, MO
  • NPI 1154501385

  Physical Therapist

  Medicare reassignment NPD
• Advanced Physical Therapy and Sports Rehabilitation, PA

  • Physical Therapy Clinic/Center
  • Overland Park, KS
  • NPI 1811941479

  Physical Therapist

  NPD
• Proactive Physical Therapy & Sports Rehab, Inc

  • Physical Therapist
  • Sioux Center, IA
  • NPI 1487773602
  NPD (past)
• Proactive Physical Therapy and Sports Rehab

  • Physical Therapist
  • Sheldon, IA
  • NPI 1699068841
  NPD (past)

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1558534693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "316-263-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8437 STATE AVE",
            "address_2": "STE B",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121842",
            "telephone_number": "913-299-9616",
            "fax_number": "913-299-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OETTING",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "115364",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1102938",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of Kansas PA (Concentra Medical Center)
• Occupational Health Centers of Kansas PA (Concentra Medical Center)
• Occupational Health Centers of Kansas PA (Concentra Medical Centers)
• Anna Oconnor
• Tariq Yousef Elias Odeh, MD
• Joy Oluwaseun Ogundare, MD
• Yujung Oh
• Ifije Ohiorhenuan, MD
• Ashley K Ohmer, PHARM.D.
• Chidera Keena Okafor, MD

• Physical Therapist in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.