Michelle B Stache, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

601-019 Issued in WI

Practice address

1335 S Oneida St
Appleton, WI 54915-1351

Phone

(920) 731-6646

NPI assigned

Jun 20, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1710326913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N740 WINDSWAY CT",
            "city": "FREMONT",
            "state": "WI",
            "postal_code": "549409184",
            "telephone_number": "920-470-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 S ONEIDA ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151351",
            "telephone_number": "920-731-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACHE",
        "first_name": "MICHELLE",
        "middle_name": "B",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "601-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Fern Springer, PHARMD
• Sprout Family Chiropractic LLC
• Sreedevi Sreenarasimhaiah, MD
• Sue Srnka
• Allison R Stache, APNP
• Amy H Stack
• Richard A Staehler, MD
• Mark A Stahl, MSE, CADC, LPC
• Stairgoddess, LLC
• Allison L Stallbohm, APNP

• Physical Therapy Assistant in Appleton, WI
• Providers in Appleton, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.