Kenneth James Stockley

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT018115 Issued in PA

Practice address

951 Washington Ave
Tyrone, PA 16686-1426

Phone

(814) 684-2610

Fax

(814) 684-2610

NPI assigned

Nov 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dept of Military Affairs, Commonwealth of Pennsylvania

  dba Hollidaysburg Veterans Home

  • Nursing Facility/Intermediate Care Facility
  • Hollidaysburg, PA
  • NPI 1518058726
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720158272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 THEATRE RD",
            "city": "CARROLLTOWN",
            "state": "PA",
            "postal_code": "157227700",
            "telephone_number": "814-344-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 WASHINGTON AVE",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861426",
            "telephone_number": "814-684-2610",
            "fax_number": "814-684-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKLEY",
        "first_name": "KENNETH",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Sloter, MA LBS BCBA
• Crystal Lynn Smith
• Kellie A Smith, PA-C
• SMZ Ventures Inc
• Anupamaa Srivastava-Sinha, MD
• Christi Stringer, B.A.
• Gabrielle L Sweeney
• Aubrey Lyn Swogger, PT
• Brittany Talbott, PT
• Maria Jacqueline Tomkowski

• Physical Therapist in Tyrone, PA
• Providers in Tyrone, PA by specialty
• Physical Therapist in Pennsylvania

• 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.

Verify at the official NPI Registry.