Karli Nicole Stager, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26289 Issued in MD

Practice address

2160 Sandy Dr Ste a
State College, PA 16803-2205

Phone

(814) 861-8122

Fax

(814) 861-4292

NPI assigned

Mar 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Karli Nicole Spencer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688256000000",
    "number": "1629573183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 SANDY DR STE A",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032205",
            "telephone_number": "814-861-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 SANDY DR STE A",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032205",
            "telephone_number": "814-861-8122",
            "fax_number": "814-861-4292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212051832",
            "country_code": "US",
            "telephone_number": "443-923-1872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAGER",
        "first_name": "KARLI",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2023-07-02",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLI",
            "last_name": "SPENCER",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian Allen Spencer, D.O.
• Evan Spencer
• Douglas Alan Spotts, M.D.
• David Sprague
• Phyllis C Stackhouse, CRNP
• Paula Ann Stahl, MSW, LCSW, CCTP
• Alyssa Stahly, PTA
• Katharine Staley, PH.D.
• Linda Stanger, LCSW
• Jaclyn Brooke Stanley, M.S., ATC

• Physical Therapist in State College, PA
• Providers in State College, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2023; 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.