Deborah Stanley, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30087 Issued in FL

Practice address

25727 NE State Road 26
Melrose, FL 32666-6202

Phone

(352) 475-3113

NPI assigned

Feb 25, 2020

Last updated

Feb 25, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1972137339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 STATE ROAD 100",
            "city": "MELROSE",
            "state": "FL",
            "postal_code": "326663145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25727 NE STATE ROAD 26",
            "city": "MELROSE",
            "state": "FL",
            "postal_code": "326666202",
            "telephone_number": "352-475-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "DEBORAH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://www.clinicient.com/",
            "affiliation": "N",
            "address_1": "25727 NE State Road 26",
            "city": "Melrose",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326666202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karsyn A Robinson
• Deili Rodriguez
• Elena Rosa, LM CPM
• Patrica Shackleford, PH.D.
• Jeffrey C Smith, DDS
• Kimberley Stanley, PTA
• Joe E. Steidl, R.PH
• Bette Vantrump Stephens, LISW, LCSW
• Latoya Strickland
• Richard C Sturdivant, LMT

• Physical Therapy Assistant in Melrose, FL
• Providers in Melrose, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.