Stacy Renee Downs, D.P.T.
Individual provider Active NPI Orthopedic Physical Therapist · Sunrise, FL
NPI 1013272913 · NPPES record last updated Oct 16, 2023
Key facts
- NPI
- 1013272913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 005790 (KY)
- 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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210622002828 | FL | Practitioner - Physical Therapist in Private Practice | 7113164740 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005790 | KY | MD | Orthopedic Physical Therapist |
| 33727 | FL | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapy | Current |
Accepting new patients |
| Sobe Innovative Rehabilitation PLLC | Geriatrics | Current |
Accepting new patients |
| Adults to Pediatrics Therapy 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
Specialties & licenses
| 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 | Yes |
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
Other providers in Sunrise, FL
- Araceli E Doughty
- Monica Daniela Dousdebes Garcia
- Guialix Douyon
- Doviniti-J15 12 Inc
- Kathleen Dowdell
- Morgan Griffin Dozier
- Dr Niurka Santana & Associates Inc
- Dr Thomas OD PA
- Dr. Phillip Haiman and Associates, P.a.
- Dr. Shannon Joseph O.D., LLC
All providers in Sunrise, FL · Orthopedic Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.