Taylor Brooke Stockman, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

3801 Miller Dr
Columbia, MO 65201-5446

Phone

(573) 876-5888

Fax

(573) 876-5878

NPI assigned

Oct 27, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1710587100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MILLER DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015446",
            "telephone_number": "573-876-5888",
            "fax_number": "573-876-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MILLER DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015446",
            "telephone_number": "573-876-5888",
            "fax_number": "573-876-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKMAN",
        "first_name": "TAYLOR",
        "middle_name": "BROOKE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020002068",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tstockman@symbria.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3801 Miller Dr",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652015446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gregory L Stine Jr., DDS
• Joseph P Stitzer, CRNA
• Christina Elaine Stixrud, M.D.
• Janis Stock, LPC
• Daniel James Stockman, ATC/OTC
• Lucy M Stofer, MSW, LCSW
• Charie Stoffel
• Melissa Deana Stone Rogers, MSW, LCSW
• Andrew Stone, O.D.
• Ashley Brooke Stone, PHARM

• Physical Therapy Assistant in Columbia, MO
• Providers in Columbia, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.