Active NPI
Sandra Jean Stuckey, P.T.
- Physical Therapist
- Claremont, CA
National Provider Identifier
1720330335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3277
- Practice address
- 670 Black Hills Dr
Claremont, CA 91711-2928 - Phone
- (909) 624-9705
- NPI assigned
- Oct 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3277 | CA | Primary |
Addresses
Primary practice location
670 Black Hills Dr
Claremont, CA 91711-2928
Mailing address
670 Black Hills Dr
Claremont, CA 91711-2928
Phone (909) 624-9705
Other practice location 1
68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3277 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1720330335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 BLACK HILLS DR",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917112928",
"telephone_number": "909-624-9705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 BLACK HILLS DR",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917112928",
"telephone_number": "909-624-9705"
}
],
"practiceLocations": [
{
"address_1": "68 Willow Rd",
"address_purpose": "LOCATION",
"city": "Menlo Park",
"state": "CA",
"postal_code": "940253653",
"country_code": "US",
"telephone_number": "866-839-6979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUCKEY",
"first_name": "SANDRA",
"middle_name": "JEAN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-05",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT3277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremont, CA
- Leslie A Stone, M.S., MFT
- Barbara Strachan, RDN
- Streng Bassi Begum and Jiang Medical Corporation (Foothills Infectious Disease Medical Group, Inc.)
- Keymara Carolyn Strickland
- Strive Abc a Psychological Corporation (Strive ABC)
- Duane W Styles, MD
- Cassianna Miranda Summers, AMFT
- Jennifer Chia June Sun, M.D.
- Jenny C Sun, DDS
- Sung Sohn (Ecoterra Hoilistic Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.