Individual provider Active NPI

Stacy Bible, DPT

  • Physical Therapist
  • Derby, KS
National Provider Identifier
1992389332
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-06807 Issued in 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
Last updated
Jul 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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 11-06807 KS Primary

Addresses

Primary practice location

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

Mailing address

1314 N Westview Dr
Derby, KS 67037-2919
Phone (620) 440-9297

Other practice location 1

731 N Klein Cir
Derby, KS 67037-7011
Phone (316) 719-2400

Other names 1

  • Stacy Sones Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210713002547 KS Practitioner - Physical Therapist in Private Practice 5294137246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced PT LLCGroup PAC ID 3678524709, 84 clinicians
Phoenix Physical Therapy LLCGroup PAC ID 3779914544, 50 clinicians

Practice addresses (Care Compare)

1410 N Woodlawn Blvd D
Advanced PT Derby Meadowlark
Derby, KS 67037-2953
Phone (316) 202-0970

3223 N Webb Rd
Suite 2
Wichita, KS 67226-8176
Phone (316) 260-3311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced PT LLC Physical Therapist CurrentSince Jun 18, 2021 Accepting new patients
Phoenix Physical Therapy LLC CurrentSince Jan 6, 2026 Accepting new patients
Advanced PT LLC Physical Therapist CurrentSince Jun 18, 2021 Accepting new patients

Locations

610 N State St
Augusta, KS 67010

1410 N Woodlawn Blvd
Ste D
Derby, KS 67037
Phone (316) 202-0970

12627 E Central Ave
Wichita, KS 67206

12627 E Central Ave
Ste 308
Wichita, KS 67206

200 W Douglas Ave
Ste 1040
Wichita, KS 67202
Phone (866) 412-5554

3223 N Webb Rd
Ste 2
Wichita, KS 67226
Phone (316) 609-3040

3730 N Ridge Rd
Ste 500
Wichita, KS 67205
Phone (316) 440-4901

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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"
        }
    ]
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.