Angelia Sue Stamps

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2004021782 Issued in MO

Practice address

2963 Doddridge Ave
Maryland Heights, MO 63043-1736

Phone

(877) 787-3430

NPI assigned

Aug 3, 2018

Sex

Female

Sole proprietor

Yes

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

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": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1558849307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2963 DODDRIDGE AVE",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630431736",
            "telephone_number": "877-787-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2963 DODDRIDGE AVE",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630431736",
            "telephone_number": "877-787-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMPS",
        "first_name": "ANGELIA",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "4517",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NV",
            "license": "A-1124",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2004021782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SSM Depaul Medical Group, Inc. (SSM Health Medical Group)
• SSM Medical Group Inc. (SSM Health Medical Group)
• St. Luke'S Family Medicine - Maryland Heights LLC
• Stafford Foundation
• Bic Stafford, DPM
• Sharon Stecher, MSN, APRN,BC
• Steve Crawford, L.L.C. (Westport Health Services)
• Ke'Aira Stewart
• Amy M Stowers, RNFA, BSN, CNOR
• Strictly Pediatrics Center

• Physical Therapy Assistant in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.