Active NPI
Kerri Spurlock Stavros, PT
- Geriatric Physical Therapist
- Garland, TX
National Provider Identifier
1942771340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 1087260
- Practice address
- 3450 Wagon Wheel Rd
Garland, TX 75044-6803 - Phone
- (972) 532-0072
- NPI assigned
- Dec 10, 2018
- Last updated
- Dec 10, 2018
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 1087260 | TX | Primary |
Addresses
Primary practice location
3450 Wagon Wheel Rd
Garland, TX 75044-6803
Mailing address
11016 Glen Echo CT
Dallas, TX 75238-3731
Phone (214) 394-8846
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1087260 | TX | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544400000000",
"number": "1942771340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11016 GLEN ECHO CT",
"city": "DALLAS",
"state": "TX",
"postal_code": "752383731",
"telephone_number": "214-394-8846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 WAGON WHEEL RD",
"city": "GARLAND",
"state": "TX",
"postal_code": "750446803",
"telephone_number": "972-532-0072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAVROS",
"first_name": "KERRI",
"middle_name": "SPURLOCK",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-10",
"last_updated": "2018-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "TX",
"license": "1087260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
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- Julie Stanek, DVM
- Audrey Lynn Stansbury, DDS
- Star Choice Home Health Inc
- Steadfast Group, LLC (Genesis Medical Supplies)
- Diana Lee Steed, IBCLC
- Anita Steele-Chatman
- Wendy Steger, DDS
- Alisha N. Steiger, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.