Active NPI
Drew Stuber, PT, DPT
- Physical Therapist
- Versailles, KY
National Provider Identifier
1679206205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009177
- Practice address
- 374 Kroger Way
Versailles, KY 40383-1915 - Phone
- (859) 286-6848
- NPI assigned
- Jul 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 Therapist | 225100000X | 009177 | KY | Primary |
Addresses
Primary practice location
374 Kroger Way
Versailles, KY 40383-1915
Mailing address
374 Kroger Way
Versailles, KY 40383-1915
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 |
|---|---|---|---|
| 009177 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1679206205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "374 KROGER WAY",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "403831915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 KROGER WAY",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "403831915",
"telephone_number": "859-286-6848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUBER",
"first_name": "DREW",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-01",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "009177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Versailles, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.