Active NPI
Stacie S. Andrews, MS, PT
- Physical Therapist
- Warner Robins, GA
National Provider Identifier
1063692895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007161
- Practice address
- 220 Margie Dr
Warner Robins, GA 31088-7813 - Phone
- (478) 474-4035
- Fax
- (478) 474-7713
- NPI assigned
- Nov 8, 2007
- Last updated
- Nov 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 007161 | GA | Primary |
Addresses
Primary practice location
220 Margie Dr
Warner Robins, GA 31088-7813
Mailing address
310 Ashville CT
Macon, GA 31210-1669
Phone (478) 474-4035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193449608B | Medicaid | GA |
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Worldcare International Corporation | Physical Therapist | Past | Accepting new patients |
| Impact Therapy of Georgia | Past | Accepting new patients | |
| Worldcare International Corp. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Impact Therapy
- Speech-Language Pathologist
- Warner Robins, GA
- NPI 1013360601
-
dba Kids in Waterland
- Physical Therapist
- Macon, GA
- NPI 1003287616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1063692895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 ASHVILLE CT",
"city": "MACON",
"state": "GA",
"postal_code": "312101669",
"telephone_number": "478-474-4035",
"fax_number": "478-474-7713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 MARGIE DR",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310887813",
"telephone_number": "478-474-4035",
"fax_number": "478-474-7713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "STACIE",
"middle_name": "S.",
"name_prefix": "Mrs.",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-08",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "007161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "193449608B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.