Active NPI
Stephanie Ann Paluka, DPT
- Physical Therapist
- Lee's Summit, MO
National Provider Identifier
1831477678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2021002742
- Practice address
- 2300 SW Hawk View Rd
Lees Summit, MO 64082-4095 - Phone
- (630) 542-0074
- NPI assigned
- Jul 27, 2011
- Last updated
- Dec 6, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.018497 | IL | |
| Physical Therapist | 225100000X | 2021002742 | MO | Primary |
Addresses
Primary practice location
2300 SW Hawk View Rd
Lees Summit, MO 64082-4095
Mailing address
2300 SW Hawk View Rd
Lees Summit, MO 64082-4095
Other names 1
- Stephanie A Coffey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
22120 Midland Dr
Suite 1
Shawnee, KS 66226-3574
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.018497 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fit Muscle & Joint Clinic LLC | Current | Accepting new patients | |
| Rehabilitation Institute of Chicago | Past | Accepting new patients | |
| Medical Services Ric | Past | Accepting new patients |
Locations
401 NW Murray Rd
Lees Summit, MO 64081
Phone (816) 944-4244
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Lee's Summit, MO
- NPI 1215655162
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1659306587
-
dba Shirley Ryan AbilityLab
- Rehabilitation Hospital
- Chicago, IL
- NPI 1205879095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1831477678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 SW HAWK VIEW RD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640824095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 SW HAWK VIEW RD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640824095",
"telephone_number": "630-542-0074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALUKA",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-27",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.018497",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2021002742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "COFFEY",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.