Active NPI
Claire Stanners, MAT, ATC
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Kenosha, WI
National Provider Identifier
1750149878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 3145-39
- Practice address
- 2001 Alford Park Dr
Kenosha, WI 53140-1927 - Phone
- (173) 478-7252
- NPI assigned
- Mar 12, 2024
- 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 |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 3145-39 | WI | Primary |
Addresses
Primary practice location
2001 Alford Park Dr
Kenosha, WI 53140-1927
Mailing address
999 Wood Rd Apt 203
Kenosha, WI 53144-1154
Phone (734) 787-2523
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 |
|---|---|---|---|
| 3145-39 | WI | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1750149878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 WOOD RD APT 203",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531441154",
"telephone_number": "734-787-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 ALFORD PARK DR",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531401927",
"telephone_number": "173-478-7252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANNERS",
"first_name": "CLAIRE",
"credential": "MAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-12",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "WI",
"license": "3145-39",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.