Individual provider Active NPI

Amanda Stoner, DPT

  • Physical Therapist
  • Indianola, IA
National Provider Identifier
1962816041
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
073979 Issued in IA
Practice address
307 E Scenic Valley Ave
Suite 300
Indianola, IA 50125-4865
Phone
(515) 643-9109
Fax
(515) 643-9138
NPI assigned
Jun 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 073979 IA Primary

Addresses

Primary practice location

307 E Scenic Valley Ave
Suite 300
Indianola, IA 50125-4865

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-9109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140808001086 IA Practitioner - Physical Therapist in Private Practice 0244457687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
21St Century Rehab PCGroup PAC ID 1456250448, 29 clinicians

Practice addresses (Care Compare)

125 N 1St St
Carlisle, IA 50047-7810
Phone (515) 989-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
21St Century Rehab PC CurrentSince Feb 5, 2025 Accepting new patients
21St Century Rehab PC CurrentSince Feb 5, 2025 Accepting new patients
21St Century Rehab, PC Physical Therapist Current Accepting new patients

Locations

1003 8th St SW
Ste D
Altoona, IA 50009
Phone (515) 967-4121

1504 S Story St
Ste 6
Boone, IA 50036
Phone (515) 236-9014

125 N 1st St
Carlisle, IA 50047
Phone (515) 989-0100

1507 N 1st St
Indianola, IA 50125
Phone (515) 961-7435

209 W 2nd St
Madrid, IA 50156
Phone (515) 795-2427

109 W McLane St
Osceola, IA 50213
Phone (641) 342-1470

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1962816041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-9109",
            "fax_number": "515-643-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E SCENIC VALLEY AVE",
            "address_2": "SUITE 300",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501254865",
            "telephone_number": "515-643-9109",
            "fax_number": "515-643-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONER",
        "first_name": "AMANDA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "073979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.