Individual provider Active NPI

Stephanie Ruth Markle, DPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1609493345
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
MSPTL.0000011 Issued in CO
Practice address
6160 Tutt Blvd Ste 240
Colorado Springs, CO 80923-3502
Phone
(719) 596-0880
Fax
(719) 596-0899
NPI assigned
Jun 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT028512 PA
Physical Therapist 225100000X 11 CO
Physical Therapist 225100000X MSPTL.0000011 CO Primary

Addresses

Primary practice location

6160 Tutt Blvd Ste 240
Colorado Springs, CO 80923-3502

Mailing address

6160 Tutt Blvd Ste 240
Colorado Springs, CO 80923-3502
Phone (719) 596-0880

Other practice location 1

480 Johnson Rd
Washington, PA 15301-8936
Phone (724) 223-2061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11COMDAddiction (Substance Use Disorder) Counselor
PT028512PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Maryland Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 8, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients

Locations

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1609493345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 TUTT BLVD STE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233502",
            "telephone_number": "719-596-0880",
            "fax_number": "719-596-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 TUTT BLVD STE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233502",
            "telephone_number": "719-596-0880",
            "fax_number": "719-596-0899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Johnson Rd",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "PA",
            "postal_code": "153018936",
            "country_code": "US",
            "telephone_number": "724-223-2061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKLE",
        "first_name": "STEPHANIE",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028512",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "MSPTL.0000011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.