Norman Shawn Stack, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

600 Glen Ave Ste 203
Salisbury, MD 21804-5250

Phone

(410) 749-4154

Fax

(410) 860-9583

NPI assigned

Aug 30, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1881704567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10429 FOX GLEN DR",
            "city": "BRIDGEVILLE",
            "state": "DE",
            "postal_code": "199334562",
            "telephone_number": "302-628-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GLEN AVE STE 203",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045250",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1324 Belmont Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218044543",
            "country_code": "US",
            "telephone_number": "410-546-2702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STACK",
        "first_name": "NORMAN",
        "middle_name": "SHAWN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "A2330",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aarthi Sridhar
• Rajeev Srivastava, MD
• Kaitlyn Sroka
• St Paul Place Specialists, Inc.
• Kristie St Pierre, SLP
• Lindsay Britt Stallings
• Scott Robert Stansbury, MA, ATC, LAT
• Ara J. Stanton, DDS
• William J Stanton, CRNA
• Eliza A Stayton, SLP

• Physical Therapy Assistant in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.