Stacee Newsom, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2002021172 Issued in MO

Practice address

640 NW Jefferson St
Grain Valley, MO 64029-8278

Phone

(816) 726-7337

Fax

(816) 847-0218

NPI assigned

Sep 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Starz Pediatric Therapy Network

  • Physical Therapy Clinic/Center
  • Grain Valley, MO
  • NPI 1518261320
  NPD (past) Authorized official
• All in Rehab, LLC

  • Physical Therapist
  • Blue Springs, MO
  • NPI 1437756319
  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1023205671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 NW PERSIMMON DR",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640298628",
            "telephone_number": "816-726-7337",
            "fax_number": "816-847-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 NW JEFFERSON ST",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640298278",
            "telephone_number": "816-726-7337",
            "fax_number": "816-847-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "STACEE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2002021172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad A. Mouse, DO
• Brooke Alexa Mullendore, OTR/L, OTD
• Brenna Coleen Nevels Mumm
• Afaq Muradzade, DDS
• Breanna Murphy
• Michelle O'Connor
• Chelsea O'Hare
• Nicole Odom
• Elizabeth Louise Orme, RBT
• Alexandria Caline Orozco

• Physical Therapist in Grain Valley, MO
• Providers in Grain Valley, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.