Individual provider Active NPI

Stephanie Ann Paluka, DPT

  • Physical Therapist
  • Lee's Summit, MO
National Provider Identifier
1831477678
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2021002742 Issued in MO
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
070.018497ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Muscle & Joint Clinic LLC CurrentSince Oct 1, 2024 Accepting new patients
Rehabilitation Institute of Chicago Past Accepting new patients
Medical Services Ric PastSince Aug 1, 2011 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.

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.

Verify at the official NPI Registry.