Beth Marie Stange, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4915-024 Issued in WI

Practice address

215 E Brown St
Augusta, WI 54722-9346

Phone

(715) 286-2266

NPI assigned

Nov 29, 2011

Last updated

Jan 29, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: bstange22996@ehrdirect.mayoclinicmsg.org

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1679840037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926 WELLINGTON DR E",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547030748",
            "telephone_number": "715-835-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E BROWN ST",
            "city": "AUGUSTA",
            "state": "WI",
            "postal_code": "547229346",
            "telephone_number": "715-286-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANGE",
        "first_name": "BETH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4915-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bstange22996@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "215 E Brown St",
            "city": "Augusta",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547229346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in Augusta, WI
• Providers in Augusta, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.