Mary Stoller, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05011538A Issued in IN

Practice address

1005 N Hickory Rd
South Bend, IN 46615-3723

Phone

(574) 233-5754

NPI assigned

Jun 8, 2016

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 IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

McDonald Physical TherapyGroup PAC ID 0446386650, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.5 of 100Reported as group

Quality

80

Improvement activities

40

Cost

74.99

Medicare enrollment (NPD)

Enrolled

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.

• McDonald Physical Therapy

  • Clinic/Center
  • South Bend, IN
  • NPI 1063419026
  Medicare reassignment Care Compare group
• McDonald Physical Therapy and Sports Rehabilitation Center

  • Physical Therapy Assistant
  • South Bend, IN
  • NPI 1710863691
  NPD

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1922457274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N HICKORY RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N HICKORY RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153723",
            "telephone_number": "574-233-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLER",
        "first_name": "MARY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011538A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie M. Stickley, AU.D.
• Jeremiah Stillwagon
• Barbara Ann Stitt, FNP
• Kurt H Stiver, MD
• Richard A Stoldt, M.D.
• Terrill Lee Stoller, D.D.S.
• Janet Sue Stone, LCSW
• Natasha Stoner
• Ashleigh Stopper, PTA
• Story of Hope Counseling

• Physical Therapist in South Bend, IN
• Providers in South Bend, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.