Active NPI
Shelly Ann Stott, PTA
- Physical Therapy Assistant
- Leonardtown, MD
National Provider Identifier
1689219891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A2598
- Practice address
- 25480 Point Lookout Rd Ste 200
Leonardtown, MD 20650-3801 - Phone
- (240) 256-3711
- Fax
- (240) 256-3612
- NPI assigned
- Nov 12, 2019
- Last updated
- Nov 12, 2019
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | A2598 | MD | Primary |
Addresses
Primary practice location
25480 Point Lookout Rd Ste 200
Leonardtown, MD 20650-3801
Mailing address
25480 Point Lookout Rd Ste 200
Leonardtown, MD 20650-3801
Phone (240) 256-3711
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 |
|---|---|---|---|
| A2598 | MD | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1689219891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25480 POINT LOOKOUT RD STE 200",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206503801",
"telephone_number": "240-256-3711",
"fax_number": "240-256-3612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25480 POINT LOOKOUT RD STE 200",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206503801",
"telephone_number": "240-256-3711",
"fax_number": "240-256-3612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOTT",
"first_name": "SHELLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-12",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A2598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leonardtown, MD
- St. Mary's Nursing Center, Inc.
- St.Marys County Public Schools/Infants and Toddlers Program
- Shepard Wiley Stephenson, LGPC
- Wendy Stepura
- Kathryn Franzen Sterling, APRN
- Strickland Physical Therapy, LLC
- Samantha Nicole Strickland, P.T.
- Lauren Nicole Strohl, PA-C
- Vipul Subramanian, DDS
- Summit Clinical Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.