Stephanie Jo McColloch, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

083169 Issued in IA

Practice address

1016 Main St
Norwalk, IA 50211-1327

Phone

(515) 325-1516

NPI assigned

Jun 15, 2016

Last updated

Mar 2, 2025By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Nurtured Soul Phyiscal Therapy & Wellness LLC

  • Physical Therapist
  • Norwalk, IA
  • NPI 1821835505
  NPD Authorized official

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740873600000",
    "number": "1760832232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6287 GEAR ST",
            "city": "PROLE",
            "state": "IA",
            "postal_code": "502299180",
            "telephone_number": "515-325-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 MAIN ST",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502111327",
            "telephone_number": "515-325-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLOCH",
        "first_name": "STEPHANIE",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "083169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Connection
• Laura Matyasse, PT, DPT
• Anthony McBroom
• Heather McCabe, OTR
• Katelyn McClellan
• Abbigail Meendering
• Mercy Clinics, Inc. (MercyOne Norwalk Physical Therapy)
• Branden James Miller, D.C.
• Jessica Ann Miller, PT
• Kathryn Miller

• Physical Therapist in Norwalk, IA
• Providers in Norwalk, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2025; 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.