Nicola Gearing Stann, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008845 Issued in GA

Practice address

2576 Lawrenceville Suwanee Rd
Suwanee, GA 30024-7290

Phone

(770) 670-6558

Fax

(770) 962-4045

NPI assigned

Apr 6, 2009

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

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Primacare Rehabilitation P.C.

  • Physical Therapy Clinic/Center
  • Suwanee, GA
  • NPI 1154408615

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1649412651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 DUNHILL VIEW CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054648",
            "telephone_number": "404-376-9994",
            "fax_number": "770-962-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2576 LAWRENCEVILLE SUWANEE RD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247290",
            "telephone_number": "770-670-6558",
            "fax_number": "770-962-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANN",
        "first_name": "NICOLA",
        "middle_name": "GEARING",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Joseph'S Pediatrics LLC
• Shanon Lee St. Germain, LMT
• Cory M Stanley, PA
• Laura Kay Stanley, L.P.C.
• Melissa Ann Stanley, MS, LAPC, NCC
• Valerie Kay Staples
• Brennan Anthony James Stapleton, DC
• Star Optometry Ga LLC
• Stars Medical and Psychiatric Urgent Services LLC
• Mary L Steedman

• Physical Therapist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.