Stacie D Van Pelt

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1859 Issued in NE

Practice address

2835 N Nebraska Ave
York, NE 68467-8096

Phone

(402) 362-8636

Fax

(308) 697-4179

NPI assigned

Oct 6, 2006

Last updated

Apr 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Nebraska Physical Therapy PCGroup PAC ID 2163615360, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Southwest Nebraska Physical Therapy, P.C.

  dba Frontier County Physical Therapy

  • Physical Therapist
  • Curtis, NE
  • NPI 1386783181
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1760579387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 N NEBRASKA AVE",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684678096",
            "telephone_number": "402-362-8636",
            "fax_number": "308-697-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 N NEBRASKA AVE",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684678096",
            "telephone_number": "402-362-8636",
            "fax_number": "308-697-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN PELT",
        "first_name": "STACIE",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-PHYSICAL THERAPY",
            "identifier": "272277",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36518",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "650018006",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Toovey, LADC
• James S Turner
• Julie M Turner
• Lisa Ann Ubaid
• Sharon Lynn Van Dyke
• Melissa Vejraska, RN
• Scott Velasquez
• Patricia Rene Vincent, LPN
• Wal-Mart Stores, Inc. (Vision Center 30-0350)
• Kaelee Elizabeth Walbrecht

• Physical Therapist in York, NE
• Providers in York, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.