Active NPI
Alexandra Lucille Stork, PT
- Physical Therapist
- Waukee, IA
National Provider Identifier
1780931972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004955
- Practice address
- 50 E Hickman Rd
Waukee, IA 50263 - Phone
- (515) 216-2999
- Fax
- (515) 471-9243
- NPI assigned
- Aug 7, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004955 | IA | Primary |
Addresses
Primary practice location
50 E Hickman Rd
Waukee, IA 50263
Mailing address
1200 Pleasant Street
South 2 Room 236
Des Moines, IA 50309
Phone (515) 241-6228
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Past | Accepting new patients |
Interoperability endpoints
- astork433817@direct.unitypoint.org
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527033600000",
"number": "1780931972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 PLEASANT STREET",
"address_2": "SOUTH 2 ROOM 236",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50309",
"telephone_number": "515-241-6228",
"fax_number": "515-241-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E HICKMAN RD",
"city": "WAUKEE",
"state": "IA",
"postal_code": "50263",
"telephone_number": "515-216-2999",
"fax_number": "515-471-9243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORK",
"first_name": "ALEXANDRA",
"middle_name": "LUCILLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-07",
"last_updated": "2018-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukee, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.