Stacy Lynn Clawson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-03051 Issued in KS

Practice address

510 W 7TH St
Ellinwood, KS 67526-1101

Phone

(620) 564-2337

NPI assigned

Feb 13, 2020

Last updated

Feb 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stacy Lynn Zink Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1851924229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012711",
            "telephone_number": "620-566-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W 7TH ST",
            "city": "ELLINWOOD",
            "state": "KS",
            "postal_code": "675261101",
            "telephone_number": "620-564-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAWSON",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-03051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "ZINK",
            "middle_name": "LYNN",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Advanced Practice Specialties, LLC
• Christopher M Brown, MD
• City of Ellinwood
• Mallory Lynn Damon, PTA
• Dan Leroy Davis, DDS
• Diversicare of Ellinwood, LLC (Diversicare of Ellinwood)
• Robin D Durrett, DO
• Ellinwood Public Schools Usd 355

• Physical Therapy Assistant in Ellinwood, KS
• Providers in Ellinwood, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.