Physikale Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN006427 Issued in PA

Legal business name

PHYSIKALE NUTRITION LLC

Practice address

16288 Treasure LK
Du Bois, PA 15801

Phone

(409) 363-1260

NPI assigned

Jul 23, 2018

Organization subpart

No

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

Authorized official

Name

Sara Beth Stone, MS RDN LDN

Title

Owner

Phone

(409) 363-1260

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1952888976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 TREASURE LK",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158019039",
            "telephone_number": "409-363-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16288 TREASURE LK",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "15801",
            "telephone_number": "409-363-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIKALE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-363-1260",
        "authorized_official_credential": "MS RDN LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M Peterson, M.S.
• Denise A Pfingstler-Johnson, CRNP
• Margaret Anne Pfingstler, P.T.
• Tuyet Ngan Thi Phan, MD
• Lawrence Warren Phleger, LPC
• Mark A. Piasio, M.D.
• Beth A Pirnick
• Megan E Pistner, PA-C
• Kimberly Renee Placer
• Mark E Pleiss, MA

• Registered Dietitian in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.