Active NPI
Lauren Domenica Stollman, PT, DPT
- Physical Therapist
- Draper, UT
National Provider Identifier
1760146567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1106906
- Practice address
- 13937 S Sprague LN Ste 100
Draper, UT 84020-7864 - Phone
- (385) 308-8034
- NPI assigned
- Oct 27, 2021
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1106906 | KS | Primary |
| Physical Therapist | 225100000X | 054153-01 | NY | |
| Physical Therapist | 225100000X | PT033713 | PA | |
| Physical Therapist | 225100000X | PTL18521 | CO | |
| Physical Therapist | 225100000X | 2021033723 | MO | |
| Physical Therapist | 225100000X | 309061 | CA |
Addresses
Primary practice location
13937 S Sprague LN Ste 100
Draper, UT 84020-7864
Mailing address
13937 S Sprague LN Ste 100
Draper, UT 84020-7864
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 |
|---|---|---|---|
| 309061 | CA | MD | Physical Therapist |
| PTL18521 | CO | MD | Physical Therapist |
| 1106906 | KS | MD | Physical Therapist |
| 2021033723 | MO | MD | Physical Therapist |
| 054153-01 | NY | MD | Physical Therapist |
| PT033713 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1760146567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13937 S SPRAGUE LN STE 100",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13937 S SPRAGUE LN STE 100",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207864",
"telephone_number": "385-308-8034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLLMAN",
"first_name": "LAUREN",
"middle_name": "DOMENICA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-27",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "1106906",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "054153-01",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT033713",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL18521",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2021033723",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "309061",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.