Active NPI
Sylvia Stots
- Specialist
- Poughkeepsie, NY
National Provider Identifier
1861612459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 002864
- Practice address
- 241 North Rd Ste 400a
Poughkeepsie, NY 12601-1154 - Phone
- (845) 431-8803
- NPI assigned
- Apr 26, 2007
- 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 | 011759-1 | NY | |
| Specialist | 174400000X | 002864 | CT | Primary |
Addresses
Primary practice location
241 North Rd Ste 400a
Poughkeepsie, NY 12601-1154
Mailing address
472 Willow Brook Rd
Clinton Corners, NY 12514-2539
Phone (845) 266-4647
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080002864 CT 01 | Other | CT | ANTHEM BC BS |
| Q34531 | Other | NY | EMPIRE BC BS |
| 969841 | Other | NY | MVP SPECIALIST |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011759-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Hudson Valley Early Education Center | Current | Accepting new patients | |
| Nordicare Physical Therapy, P.C. | Specialist | Past | Accepting new patients |
Locations
241 North Rd
Ste 400A
Poughkeepsie, NY 12601
Phone (845) 431-8803
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Poughkeepsie, NY
- NPI 1831509769
-
- Specialist
- Sharon, CT
- NPI 1568549350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1861612459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "472 WILLOW BROOK RD",
"city": "CLINTON CORNERS",
"state": "NY",
"postal_code": "125142539",
"telephone_number": "845-266-4647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 NORTH RD STE 400A",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011154",
"telephone_number": "845-431-8803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOTS",
"first_name": "SYLVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "011759-1",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "002864",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "080002864 CT 01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC BS",
"identifier": "Q34531",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP SPECIALIST",
"identifier": "969841",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.