Individual provider Active NPI

Stephanie Graul Lowrance, P.T.

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1902022700
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2010028880 Issued in MO
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

Updated by the provider on Nov 8, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
PT0000007392TNMDSpecialist
070009662ILMDPhysical Therapist
2010028880MOMDPhysical 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.

Verify at the official NPI Registry.