Active NPI
Kara L Stauffer, PT
- Physical Therapist
- Parkersburg, WV
National Provider Identifier
1952430506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 867
- Practice address
- 1212 Garfield Ave
Suite 200
Parkersburg, WV 26101-3247 - Phone
- (304) 865-6778
- Fax
- (304) 865-7400
- NPI assigned
- Mar 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 867 | WV | Primary |
| Physical Therapist | 225100000X | PT011855 | OH |
Addresses
Primary practice location
1212 Garfield Ave
Suite 200
Parkersburg, WV 26101-3247
Mailing address
415 36TH St
Suite 100
Parkersburg, WV 26101-1005
Phone (304) 917-3660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0150724 | Medicaid | OH | |
| 1952430506 | Medicaid | WV |
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 |
|---|---|---|---|
| PT011855 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1952430506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 36TH ST",
"address_2": "SUITE 100",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261011005",
"telephone_number": "304-917-3660",
"fax_number": "304-917-3674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 GARFIELD AVE",
"address_2": "SUITE 200",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261013247",
"telephone_number": "304-865-6778",
"fax_number": "304-865-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAUFFER",
"first_name": "KARA",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "867",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT011855",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0150724",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1952430506",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.