Cole Stutz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1296221 Issued in TX

Practice address

5401 La Crosse Ave.
Building C, Suite 101
Austin, TN 78739

Phone

(512) 852-8134

Fax

(512) 852-8143

NPI assigned

Sep 29, 2017

Sex

Male

Sole proprietor

No

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 TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spero Rehabilitation, LLCGroup PAC ID 5890988216, 53 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Spero Rehabilitation LLC

  • Physical Therapist
  • Katy, TX
  • NPI 1720227788
  Medicare reassignment Care Compare group NPD
• Children'S Hospital Pediatric Associates, Inc

  • Pediatrics Physician
  • Boston, MA
  • NPI 1457306664
  NPD (past)
• Lynn Jackson, PT, PC

  • Physical Therapist
  • Austin, TX
  • NPI 1871779256
  NPD (past)

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1871002188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23225 KINGSLAND BLVD STE 600",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943705",
            "telephone_number": "281-395-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 LA CROSSE AVE.",
            "address_2": "BUILDING C, SUITE 101",
            "city": "AUSTIN",
            "state": "TN",
            "postal_code": "78739",
            "telephone_number": "512-852-8134",
            "fax_number": "512-852-8143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23225 Kingsland Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774943705",
            "country_code": "US",
            "telephone_number": "281-395-9090 x104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUTZ",
        "first_name": "COLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1296221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Victor Friedman, PHARM.D.
• Jesse Ramel, LCSW
• Casey S. West, MD

• All providers in Austin, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.