Individual provider Active NPI

Stacy Renee Downs, D.P.T.

  • Orthopedic Physical Therapist
  • Sunrise, FL
National Provider Identifier
1013272913
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
005790 Issued in 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
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20210622002828 FL Practitioner - Physical Therapist in Private Practice 7113164740 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33727FLMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adults to Pediatrics Therapy LLC Physical Therapy CurrentSince Oct 22, 2023 Accepting new patients
Sobe Innovative Rehabilitation PLLC Geriatrics CurrentSince Oct 1, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapy CurrentSince May 11, 2021 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapy CurrentSince May 11, 2021 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.

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.

Verify at the official NPI Registry.