Theresa Stangle, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

109 W Main St
Pipestone, MN 56164-1651

Phone

(507) 522-5717

NPI assigned

Oct 31, 2022

Last updated

Oct 31, 2022By 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

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.

• Re Active Wellness LLC

  • Physical Therapist
  • Pipestone, MN
  • NPI 1033826003
  Authorized official Same address or phone

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1790492767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641651",
            "telephone_number": "507-522-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641651",
            "telephone_number": "507-522-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANGLE",
        "first_name": "THERESA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Louise Shelton
• Shopko Stores Operating Co LLC (Shopko Pharmacy 748)
• Melissa Dawn Sneller, RN
• Niroashan Srikumaran, MD
• Roberta Marlene Stangeland, RN
• Marit Sterud, DPT
• Jennifer Marie Swanson
• Michael E Tadlock, CRNA
• Terry L. Seeman MD (Northeast Orthopedic Center)
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Pipestone)

• Physical Therapist in Pipestone, MN
• Providers in Pipestone, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.