Olivia Stainbrook, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

004893 Issued in IA

Practice address

411 W Agency Rd
Suite 1
West Burlington, IA 52655-1704

Phone

(319) 752-7727

Fax

(319) 752-7774

NPI assigned

Nov 30, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Universal Therapy Group

  • Physical Therapy Assistant
  • West Burlington, IA
  • NPI 1124394085
  NPD (past)
• Universal Therapy Group LLC

  • Occupational Therapist
  • Burlington, IA
  • NPI 1902190259
  NPD (past)

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1942545033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W AGENCY RD",
            "address_2": "SUITE 1",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551704",
            "telephone_number": "319-752-7727",
            "fax_number": "319-752-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W AGENCY RD",
            "address_2": "SUITE 1",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551704",
            "telephone_number": "319-752-7727",
            "fax_number": "319-752-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAINBROOK",
        "first_name": "OLIVIA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-30",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "004893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Iowa Regional Medical Center, Inc.
• Southeast Iowa Regional Medical Center, Inc.
• Southeast Iowa Regional Medical Center, Inc.
• Southeast Iowa Regional Planning Commission
• Southeastern Renal Dialysis L.C.
• Jenny Steffensmeier, PTA
• Katie Corinne Stoesz, PA-C
• Maria Story, M.D.
• Superior Ambulance LC
• Stacy Lynn Swon, ARNP

• Physical Therapy Assistant in West Burlington, IA
• Providers in West Burlington, IA by specialty
• Physical Therapy Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.