Active NPI
Gina Sue Stoffer, P.T.
- Physical Therapist
- Wheeling, WV
National Provider Identifier
1710102108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 910
- Practice address
- 6 Stonegate Dr.
Wheeling, WV 26003-9332 - Phone
- (304) 905-0929
- Fax
- (304) 905-0929
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 910 | WV | Primary |
| Physical Therapist | 225100000X | 005285 | OH |
Addresses
Primary practice location
6 Stonegate Dr.
Wheeling, WV 26003-9332
Mailing address
6 Stonegate Dr.
Wheeling, WV 26003-9332
Phone (304) 905-0929
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 |
|---|---|---|---|
| 910 | WV | MD | Clinical Psychologist |
| 005285 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710102108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 STONEGATE DR.",
"city": "WHEELING",
"state": "WV",
"postal_code": "260039332",
"telephone_number": "304-905-0929",
"fax_number": "304-905-0929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 STONEGATE DR.",
"city": "WHEELING",
"state": "WV",
"postal_code": "260039332",
"telephone_number": "304-905-0929",
"fax_number": "304-905-0929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOFFER",
"first_name": "GINA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "910",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "005285",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.