Samantha Stanley, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

99086488A Issued in IN

Practice address

6330 E 75TH St Ste 206
Indianapolis, IN 46250-2700

Phone

(317) 284-1166

NPI assigned

May 29, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Feeding Friends Children'S Feeding Clinic and Therapy Services, Inc.

  • Early Intervention Provider Agency
  • Noblesville, IN
  • NPI 1184899593
  NPD (past)

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1699266403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 E 75TH ST STE 206",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502700",
            "telephone_number": "317-284-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 E 75TH ST STE 206",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502700",
            "telephone_number": "317-284-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "SAMANTHA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IN",
            "license": "99086488A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "99086488A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Barnett Stanley
• Lori Ann Stanley, NP
• Malissa Anne Stanley, NP-C, AOCNP
• Parker Stanley
• Richard Alan Stanley, D.P.M.
• Tamara Jo Sue Stanley, LCSW
• James Stansbury, MD
• Julie Lynn Stante, DDS
• Katie Jo Stanton-Maxey, MD
• Jill Stanton, MD

• Pediatric Physical Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatric Physical Therapist in Indiana

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