Active NPI
Stephanie Graul Lowrance, P.T.
- Physical Therapist
- Saint Louis, MO
National Provider Identifier
1902022700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2010028880
- Practice address
- 8340 N Broadway
Saint Louis, MO 63147-2333 - Phone
- (314) 385-9563
- NPI assigned
- Apr 18, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT0000007392 | TN | |
| Physical Therapist | 225100000X | 2010028880 | MO | Primary |
| Physical Therapist | 225100000X | 070009662 | IL |
Addresses
Primary practice location
8340 N Broadway
Saint Louis, MO 63147-2333
Mailing address
823 W State St
Mascoutah, IL 62258-1720
Phone (615) 290-2605
Other names 1
- Stephanie M Graul
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 |
|---|---|---|---|
| PT0000007392 | TN | MD | Specialist |
| 070009662 | IL | MD | Physical Therapist |
| 2010028880 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289174400000",
"number": "1902022700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 W STATE ST",
"city": "MASCOUTAH",
"state": "IL",
"postal_code": "622581720",
"telephone_number": "615-290-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8340 N BROADWAY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631472333",
"telephone_number": "314-385-9563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAUL LOWRANCE",
"first_name": "STEPHANIE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2010-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "PT0000007392",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2010028880",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070009662",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "GRAUL",
"middle_name": "M",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.