Stacy Bible, DPT

Key facts

NPI

1992389332

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

11-06807 (KS)

Practice address

1410 N Woodlawn Blvd Ste D
Derby, KS 67037-2931

Phone

(316) 202-0970

Fax

(316) 202-0971

NPI assigned

May 11, 2021

Sex

Female

Sole proprietor

No

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.

• Advanced PT LLC Physical Therapist · Wichita, KS · NPI 1780616789
  Medicare reassignment Care Compare group NPD KS · PHYSICAL THERAPIST
• Phoenix Physical Therapy LLC Physical Therapy Clinic/Center · Wichita, KS · NPI 1487287082
  Medicare reassignment Care Compare group NPD KS
• Advanced PT LLC Physical Therapist · Kansas City, KS · NPI 1144251232
  NPD PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced PT LLC (84 clinicians)
Phoenix Physical Therapy LLC (50 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KS

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Stacy Sones Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 23, 2021.

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1992389332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 N WESTVIEW DR",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372919",
            "telephone_number": "620-440-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N WOODLAWN BLVD STE D",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372931",
            "telephone_number": "316-202-0970",
            "fax_number": "316-202-0971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "731 N Klein Cir",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "KS",
            "postal_code": "670377011",
            "country_code": "US",
            "telephone_number": "316-719-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIBLE",
        "first_name": "STACY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "SONES",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Derby, KS · Physical Therapist in Kansas