Organization Active NPI

Stelly Physical &Occupational Therapy

  • Physical Therapist
  • Sulphur, LA
National Provider Identifier
1689853343
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STELLY PHYSICAL &OCCUPATIONAL THERAPY
Practice address
946 Beglis Parkway
Sulphur, LA 70663
Phone
(337) 558-5168
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Preston Joseph Stelly Jr., DPT/MOTNPI 1205990439
Title
Ceo
Phone
(337) 558-5168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

946 Beglis Parkway
Sulphur, LA 70663

Mailing address

946 Beglis Parkway
Sulphur, LA 70663
Phone (337) 558-5168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080313000214 LA Part B Supplier - Clinic/Group Practice 1153406210 Receives reassigned benefits from 5 practitioners
Practice locations: Sulphur, LA

National Provider Directory

National Provider Directory

Locations

522 Cypress St
Sulphur, LA 70663
Phone (337) 533-8410

946 Beglis Pkwy
Sulphur, LA 70663
Phone (337) 533-8410

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1689853343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 BEGLIS PARKWAY",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "70663",
            "telephone_number": "337-558-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 BEGLIS PARKWAY",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "70663",
            "telephone_number": "337-558-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLY PHYSICAL &OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "STELLY",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-558-5168",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPT/MOT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.