Misty J Stone, PTA
Individual provider Active NPI Physical Therapy Assistant · Cherryvale, KS
NPI 1770754756 · NPPES record last updated Mar 18, 2008
Key facts
- NPI
- 1770754756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1401457 (KS)
- Practice address
- 1001 W Main St
Cherryvale, KS 67335-1104 - Phone
- (620) 758-2883
- NPI assigned
- Mar 18, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1401457 | KS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1401457 | KS | Yes |
Addresses
Primary practice location
1001 W Main St
Cherryvale, KS 67335-1104
Mailing address
607 Monroe
Cedar Vale, KS 67024
NPI Registry JSON
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1770754756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 MONROE",
"city": "CEDAR VALE",
"state": "KS",
"postal_code": "67024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W MAIN ST",
"city": "CHERRYVALE",
"state": "KS",
"postal_code": "673351104",
"telephone_number": "620-758-2883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "MISTY",
"middle_name": "J",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-18",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KS",
"license": "1401457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherryvale, KS
- Mercy Kansas Communities Inc
- Tamara K Morrison
- Promotion Physical Therapy
- Molly Elizabeth Reynolds
- Hali Schultheiss
- Three Amigos Apothecary LLC
- Three Amigos Apothecary LLC
- Jessica Tryon-Koehler
- Usd 447 Cherryvale
- Wilson County Hospital
All providers in Cherryvale, KS · Physical Therapy Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.