Stacy Lynn Dibble

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA34677 Issued in FL

Practice address

9978 57TH Ave N
St Petersburg, FL 33708-3428

Phone

(585) 356-4494

NPI assigned

Oct 16, 2013

Last updated

Jul 22, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1053749762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9978 57TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083428",
            "telephone_number": "585-356-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9978 57TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083428",
            "telephone_number": "585-356-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBBLE",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA34677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Alexander Diaz, MSW
• Rebekah Diaz
• Rina M. Diaz, M.D.
• Ryann Diaz, LCSW
• Mara Emily Dibartolomeo, D.O, MPH
• Laurette M Dicarlo, ARNP
• Melissa Diciaula
• Bernard Paul Dickinson II
• Christina Bickley Didyk, D.O.M.
• Adam Diehm, DC

• Physical Therapy Assistant in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.