Active NPI
Lauren Amy Stahl, PTA
- Physical Therapy Assistant
- Boca Raton, FL
National Provider Identifier
1780989871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 21236
- Practice address
- 3848 Fau Blvd Ste 105
Boca Raton, FL 33431-6437 - Phone
- (561) 395-2920
- NPI assigned
- Jan 20, 2011
- Last updated
- Jan 20, 2011
- 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 Therapy Assistant | 225200000X | 21236 | FL | Primary |
Addresses
Primary practice location
3848 Fau Blvd Ste 105
Boca Raton, FL 33431-6437
Mailing address
7223 Briella Dr
Boynton Beach, FL 33437-3765
Phone (561) 213-2083
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21236 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1780989871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7223 BRIELLA DR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373765",
"telephone_number": "561-213-2083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3848 FAU BLVD STE 105",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316437",
"telephone_number": "561-395-2920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAHL",
"first_name": "LAUREN",
"middle_name": "AMY",
"name_prefix": "Miss",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-20",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "21236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.