Individual provider Active NPI

Amber Stortz, DPT

  • Physical Therapist
  • Carlisle, KY
National Provider Identifier
1992275796
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005752 Issued in KY
Practice address
2323 Concrete Rd
Carlisle, KY 40311-9721
Phone
(859) 289-3355
NPI assigned
Dec 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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 005752 KY Primary

Addresses

Primary practice location

2323 Concrete Rd
Carlisle, KY 40311-9721

Mailing address

2323 Concrete Rd
Carlisle, KY 40311-9721
Phone (859) 289-3355

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

LicenseStateTypeSpecialty
005752KYMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: amber.stortz.p1@direct.beaconortho.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1992275796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 CONCRETE RD",
            "city": "CARLISLE",
            "state": "KY",
            "postal_code": "403119721",
            "telephone_number": "859-289-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 CONCRETE RD",
            "city": "CARLISLE",
            "state": "KY",
            "postal_code": "403119721",
            "telephone_number": "859-289-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORTZ",
        "first_name": "AMBER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.