Individual provider Active NPI

Janice Lynn Stamps, P.T.

  • Physical Therapist
  • Evansville, IN
National Provider Identifier
1811053937
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05004795A Issued in IN
Practice address
6215 E Florida St
Evansville, IN 47715-2877
Phone
(812) 401-5210
Fax
(812) 401-5220
NPI assigned
Jan 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05004795A IN Primary

Addresses

Primary practice location

6215 E Florida St
Evansville, IN 47715-2877

Mailing address

6215 E Florida St
Evansville, IN 47715-2877
Phone (812) 401-5210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041119000625 IN Practitioner - Physical Therapist in Private Practice 9234194143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab for Life LLCGroup PAC ID 8628176823, 8 clinicians

Practice addresses (Care Compare)

6215 E Florida St
Evansville, IN 47715-2877
Phone (812) 401-5210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05004795AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab for Life, LLC Physical Therapist CurrentSince Feb 28, 2007 Accepting new patients
United Outreach Inc Physical Therapist Past Accepting new patients

Locations

1449 Kimber Ln
Ste 103A
Evansville, IN 47715
Phone (812) 401-5210

6215 E Florida St
Evansville, IN 47715
Phone (812) 401-5210

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.

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1811053937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 E FLORIDA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152877",
            "telephone_number": "812-401-5210",
            "fax_number": "812-401-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 E FLORIDA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152877",
            "telephone_number": "812-401-5210",
            "fax_number": "812-401-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMPS",
        "first_name": "JANICE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004795A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.