Don A Stover III, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2275 Issued in OK

Practice address

10400 S Pennsylvania Ave
Oklahoma City, OK 73159-6907

Phone

(405) 735-2270

Fax

(405) 735-2273

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1942276274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890178",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731890178",
            "telephone_number": "405-735-2270",
            "fax_number": "405-735-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 S PENNSYLVANIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596907",
            "telephone_number": "405-735-2270",
            "fax_number": "405-735-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVER",
        "first_name": "DON",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT2275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "182988500",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200116740A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camryn Trice Stovall, PA-C
• Charisse Nicole Stovall, MD
• Lyndee Jean Stovall, M.S., CFY-SLP
• Stover Physical Therapy PC
• Debora L Stover, LPC
• Lauren Stover
• Sidney Marie Stover, MS
• Elizabeth Stoverink
• Katie Stow
• Darcy L Stowe, CCC-SLP

• Physical Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.