Stephen Paul Mehrer, PT01

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

2250 Issued in NE

Practice address

1701 W 25TH St
Sioux City, IA 51103-1705

Phone

(712) 255-6110

Fax

(715) 255-1201

NPI assigned

Sep 26, 2011

Last updated

Sep 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1861775900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 SANDSTONE CIR",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W 25TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511031705",
            "telephone_number": "712-255-6110",
            "fax_number": "715-255-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRER",
        "first_name": "STEPHEN",
        "middle_name": "PAUL",
        "credential": "PT01",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NE",
            "license": "2250",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "IA",
            "license": "3637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Physical Therapist in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Geriatric Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.