Nicole Leigh Stamm, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1983 Issued in NE

Practice address

1702 Hillcrest Dr
Bellevue, NE 68005-3652

Phone

(402) 682-4210

NPI assigned

May 22, 2007

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

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovate Rehab and Wellness LLCGroup PAC ID 5991054645, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Innovate Rehab and Wellness LLC

  • Physical Therapy Clinic/Center
  • Bellevue, NE
  • NPI 1588179923

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Prime Physical Therapy PC

  • Physical Therapist
  • La Vista, NE
  • NPI 1366016230
  NPD Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881803112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11610 POLK ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375700",
            "telephone_number": "402-212-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 HILLCREST DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053652",
            "telephone_number": "402-682-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMM",
        "first_name": "NICOLE",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Jules, LLC
• Austin J Stacey
• Richard A Stacey, DDS
• Marlin Gerald Stahl, M.D.
• Janette Elaine Thomas Stallings, APRN, PMHNP-BC
• Katerina Stange
• Joseph A. Stangl, P.A.
• Alyson Rayne Stanton
• Christopher Lloyd Stanton
• Sara Stanton

• Physical Therapist in Bellevue, NE
• Providers in Bellevue, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.