Active NPI
Stephanie Ann Parr, MPT
- Physical Therapist
- Kearney, MO
National Provider Identifier
1912024969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2013033674
- Practice address
- 101 W 92 Hwy
Ste H
Kearney, MO 64060-7590 - Phone
- (816) 903-0777
- Fax
- (816) 903-0776
- NPI assigned
- Mar 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2013033674 | MO | Primary |
Addresses
Primary practice location
101 W 92 Hwy
Ste H
Kearney, MO 64060-7590
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other names 1
- Stephanie Ann Archibald
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 |
|---|---|---|---|
| 2013033674 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1912024969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W 92 HWY",
"address_2": "STE H",
"city": "KEARNEY",
"state": "MO",
"postal_code": "640607590",
"telephone_number": "816-903-0777",
"fax_number": "816-903-0776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARR",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2013033674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "ARCHIBALD",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kearney, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.