Jennilyn Rose Stiller

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE011028 Issued in PA

Practice address

11277 Vernon PL
Meadville, PA 16335-3717

Phone

(814) 333-5214

NPI assigned

Jul 26, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1669959250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22062 RUSSET DR",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163355564",
            "telephone_number": "814-282-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11277 VERNON PL",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353717",
            "telephone_number": "814-333-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLER",
        "first_name": "JENNILYN",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE011028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Adrian Stecyk
• Brooke Stein, MA, LPC, NCC
• Robert R Stein, LPC
• Stephen P. Mizner Funeral Home & Cremation Services, Inc.
• Shelby May Stevenson
• John Michael Storey, DDS
• Kasey Stover, MPAS, PA-C
• Lindsey Renee Strawbridge, M.S.
• Erica Linn Streyle, PHARMD
• Carrie Ann Stubenhofer, FNP-C

• Physical Therapy Assistant in Meadville, PA
• Providers in Meadville, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.