Kylie A Stanton

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

600 S Main St Apt 27
Mooresville, NC 28115-3388

Phone

(574) 323-7904

NPI assigned

Dec 7, 2020

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Complete Rehabilitation and Sports Physical Therapy, PC

  • Physical Therapist
  • Ronkonkoma, NY
  • NPI 1811097306
  NPD (past)

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1760088751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST APT 27",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153388",
            "telephone_number": "574-323-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST APT 27",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153388",
            "telephone_number": "574-323-7904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8440 Pit Stop Ct NW",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280278245",
            "country_code": "US",
            "telephone_number": "704-960-1729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANTON",
        "first_name": "KYLIE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SSC Mooresville Operating Company LLC
• Stafford & Associates Counseling, PLLC
• Nanci Stafford, LCSW
• Kevin J Stanley, MD
• Rodney Jay Stanley, MD
• Clayton Wade Starnes, NP
• Samantha Carolyn Stearns, PTA
• William Stacey Steck, LMFTA
• Brittany Steele, LCSWA
• Maria Jeannine Fugate Steen, R.PH.

• Athletic Trainer in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.