Individual provider Active NPI

Stacy Marie Walenter, CMT

  • Massage Therapist
  • Libby, MT
National Provider Identifier
1053090050
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
90451 Issued in CA
Practice address
609 West 8TH Street
Unit B
Libby, MT 59935
Phone
(406) 304-0715
NPI assigned
Jul 17, 2023
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 90451 CA Primary

Addresses

Primary practice location

609 West 8TH Street
Unit B
Libby, MT 59935

Mailing address

PO Box 564
Troy, MT 59935-0564
Phone (406) 304-0715

Other practice location 1

PO Box 564
Troy, MT 59935-0564
Phone (406) 304-0715

Other names 1

  • Stacy Marie Platnico Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
90451CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoapothecary Massage Massage Therapist CurrentSince Feb 2, 2025 Accepting new patients
Cornerstone Physical Therapy and Wellness Professional Corporation PastSince Jul 1, 2023 Accepting new patients

Locations

609 W 8th St
Ste B
Libby, MT 59923
Phone (406) 304-0715

Organizations & group practices 2

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1053090050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 564",
            "city": "TROY",
            "state": "MT",
            "postal_code": "599350564",
            "telephone_number": "406-304-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 WEST 8TH STREET",
            "address_2": "UNIT B",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "59935",
            "telephone_number": "406-304-0715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 564",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MT",
            "postal_code": "599350564",
            "country_code": "US",
            "telephone_number": "406-304-0715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALENTER",
        "first_name": "STACY",
        "middle_name": "MARIE",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "90451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "PLATNICO",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Libby, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.