Individual provider Active NPI

Jacqueline Ann Stem

  • Physical Therapy Assistant
  • Norristown, PA
National Provider Identifier
1831757178
Registry record updated Jun 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TEI001920 Issued in PA
Practice address
205 E Johnson Hwy
Norristown, PA 19401-2041
Phone
(610) 275-6410
NPI assigned
Jun 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TEI001920 PA Primary

Addresses

Primary practice location

205 E Johnson Hwy
Norristown, PA 19401-2041

Mailing address

9 N Midland Ave
Eagleville, PA 19403-1263
Phone (215) 301-0737

Other identifiers 1

IdentifierTypeStateIssuer
TEI001920OtherPACOMMONWEALTH OF PA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jackie.stem85@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TEI001920PAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1559433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559433600000",
    "number": "1831757178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N MIDLAND AVE",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194031263",
            "telephone_number": "215-301-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E JOHNSON HWY",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194012041",
            "telephone_number": "610-275-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEM",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-02",
        "last_updated": "2019-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI001920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF PA",
            "identifier": "TEI001920",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jackie.stem85@gmail.com",
            "affiliation": "N",
            "endpointDescription": "i dont know",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "205 E Johnson Hwy",
            "city": "Norristown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194012041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2019; 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.