Active NPI
Holly Stache
- Physical Therapy Assistant
- Oak Ridge, TN
National Provider Identifier
1609523273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 7964
- Practice address
- 300 Briarcliff Ave
Oak Ridge, TN 37830-8731 - Phone
- (865) 481-6009
- NPI assigned
- Mar 3, 2022
- Last updated
- Mar 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 7964 | TN | Primary |
Addresses
Primary practice location
300 Briarcliff Ave
Oak Ridge, TN 37830-8731
Mailing address
1060 Worlds Fair Park Dr Unit 15
Knoxville, TN 37916-2055
Phone (865) 309-2519
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7964 | TN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1609523273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 WORLDS FAIR PARK DR UNIT 15",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162055",
"telephone_number": "865-309-2519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BRIARCLIFF AVE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378308731",
"telephone_number": "865-481-6009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACHE",
"first_name": "HOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-03",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "7964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.