Active NPI
Lois Ann Stickley, PT
- Physical Therapist
- Amarillo, TX
National Provider Identifier
1912289554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1032126
- Practice address
- 1400 S Coulter St
Amarillo, TX 79106-1786 - Phone
- (806) 354-5595
- Fax
- (806) 354-5591
- NPI assigned
- Sep 9, 2011
- 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 | 1032126 | TX | Primary |
Addresses
Primary practice location
1400 S Coulter St
Amarillo, TX 79106-1786
Mailing address
1400 S Coulter St
Amarillo, TX 79106-1786
Phone (806) 354-5595
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94533083 | Medicaid | NM | |
| 200460250 A | Medicaid | OK |
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 |
|---|---|---|---|
| 1032126 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
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- NPI 1609810977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367884800000",
"number": "1912289554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 S COULTER ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061786",
"telephone_number": "806-354-5595",
"fax_number": "806-354-5591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S COULTER ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061786",
"telephone_number": "806-354-5595",
"fax_number": "806-354-5591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STICKLEY",
"first_name": "LOIS",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2013-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1032126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "94533083",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200460250 A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.