Individual provider Active NPI

Rebecca Sue Stoner, P.T.

  • Physical Therapist
  • Grand Marais, MN
National Provider Identifier
1639353386
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1817 Issued in MN
Practice address
101 W Highway 61 Ste 130
Grand Marais, MN 55604-2333
Phone
(218) 387-9494
Fax
(218) 387-3584
NPI assigned
Dec 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1817 MN Primary

Addresses

Primary practice location

101 W Highway 61 Ste 130
Grand Marais, MN 55604-2333

Mailing address

PO Box 325
Grand Marais, MN 55604-0325
Phone (218) 387-9494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081015000256 MN Practitioner - Physical Therapist in Private Practice 2668530981 Practice locations: Grand Marais, MN

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 W Hwy 61
Suite 130
Grand Marais, MN 55604-2333
Phone (218) 387-9494

101 W Hwy 61 130
PO Box 325
Grand Marais, MN 55604-0325

1681-1683 E Hwy 61
Grand Marais, MN 55604-2120
Phone (218) 387-9119

PO Box
Suite 325
Grand Marais, MN 55604-0325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1817MNMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1639353386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "556040325",
            "telephone_number": "218-387-9494",
            "fax_number": "218-387-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W HIGHWAY 61 STE 130",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "556042333",
            "telephone_number": "218-387-9494",
            "fax_number": "218-387-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONER",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "1817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Marais, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.