Nicole Stehly, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3835 Supreme CT NW Ste 2
Bemidji, MN 56601-4485

Phone

(218) 444-8280

Fax

(218) 444-8337

NPI assigned

Oct 10, 2018

Last updated

Oct 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in AZ, CA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stac Physical Therapy Pfi IncGroup PAC ID 4789069337, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

20.31 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

67.7

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Stac Physical Therapy Pfi, Inc

  dba Personally Fit , Inc

  • Physical Therapist
  • San Diego, CA
  • NPI 1427703354
  Medicare reassignment Care Compare group
• Progressive Rehabilitation Orthopedic Therapy, Inc

  • Physical Therapy Clinic/Center
  • Lake Havasu City, AZ
  • NPI 1922010602
  Medicare reassignment NPD
• Personally Fit Inc

  • Physical Therapist
  • San Diego, CA
  • NPI 1043390073
  NPD

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1831664473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 SUPREME CT NW STE 2",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014485",
            "telephone_number": "218-444-8280",
            "fax_number": "218-444-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 SUPREME CT NW STE 2",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014485",
            "telephone_number": "218-444-8280",
            "fax_number": "218-444-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEHLY",
        "first_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria K Statton, MD
• Jacob Bradley Stay, APRN, CRNA
• Jessica Lynn Stay, MD
• Isaac Thuan Stearns, LPCC, LADC
• Jayce Roberts Steele
• Deborah Steinbar, PA-C
• Stellher Human Services Inc
• Stellher Human Services Inc
• Stellher Human Services Inc
• Stellher Human Services Inc

• Physical Therapist in Bemidji, MN
• Providers in Bemidji, 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 10, 2018; 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.