Active NPI
Stacy Renee Downs, D.P.T.
- Orthopedic Physical Therapist
- Sunrise, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 005790
- Practice address
- 14201 W Sunrise Blvd Ste 107
Sunrise, FL 33323-3207 - Phone
- (954) 756-2818
- NPI assigned
- Jul 7, 2012
- Reactivated
- Feb 9, 2017
- Last updated
- Oct 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 33727 | FL | |
| Neurology Physical Therapist | 2251N0400X | 33727 | FL | |
| Pediatric Physical Therapist | 2251P0200X | 33727 | FL | |
| Physical Therapy Clinic/Center | 261QP2000X | 33727 | FL | |
| Orthopedic Physical Therapist | 2251X0800X | 005790 | KY | Primary |
Addresses
Primary practice location
14201 W Sunrise Blvd Ste 107
Sunrise, FL 33323-3207
Mailing address
2208 S Cypress Bend Dr Apt 503
Pompano Beach, FL 33069-4431
Phone (754) 777-1424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33727 | FL | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adults to Pediatrics Therapy LLC | Physical Therapy | Current | Accepting new patients |
| Sobe Innovative Rehabilitation PLLC | Geriatrics | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapy | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapy | Current | Accepting new patients |
| Physical Therapy Alliance, LLC | Geriatrics | Past | Accepting new patients |
| Allstar Therapies Inc | Geriatrics | Past | Accepting new patients |
Locations
2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014
14201 W Sunrise Blvd
Ste 107
Sunrise, FL 33323
Phone (954) 756-2818
Organizations & group practices 6
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.
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Geriatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1013272913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 S CYPRESS BEND DR APT 503",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330694431",
"telephone_number": "754-777-1424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14201 W SUNRISE BLVD STE 107",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333233207",
"telephone_number": "954-756-2818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWNS",
"first_name": "STACY",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-07",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"deactivation_date": "2016-06-13",
"reactivation_date": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "FL",
"license": "33727",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "FL",
"license": "33727",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "FL",
"license": "33727",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "33727",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "KY",
"license": "005790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.