Jeremy Stein

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-02887 Issued in KS

Practice address

15915 Eisenhower Rd
Leavenworth, KS 66048-7364

Phone

(913) 547-2698

NPI assigned

Oct 1, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1588034664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15915 EISENHOWER RD",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660487364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15915 EISENHOWER RD",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660487364",
            "telephone_number": "913-547-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "JEREMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-02887",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2115841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Ryan Staples
• Drew Stapp, LMSW
• Brenda Starks Fonseca, LSCSW
• Brian Steed
• Kelley A Steele, RN, FNP
• Lisa Stein, RN
• Richard Allan Stein, MD
• Nicole Steinlage, RD, LD
• Ryan Steinle, LPC
• Dolly Marie Stelzer, DPM

• Physical Therapy Assistant in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.