Christie Marie Stack-Sides, M.S.PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19776 Issued in MD

Practice address

6000 Laurel Bowie Rd
Suite 203
Bowie, MD 20715-4000

Phone

(301) 860-0237

Fax

(301) 860-0076

NPI assigned

Jul 19, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Ms. Christie Marie Stack Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shorter Physical Therapy PC

  dba Excel Physical Therapy

  • Physical Therapist
  • Dunkirk, MD
  • NPI 1073732632
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073512257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 ELLIOTT DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214034669",
            "telephone_number": "410-224-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 LAUREL BOWIE RD",
            "address_2": "SUITE 203",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154000",
            "telephone_number": "301-860-0237",
            "fax_number": "301-860-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACK-SIDES",
        "first_name": "CHRISTIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S.PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19776",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT2999",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202173",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "604729-04",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3324525",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7068079",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "STACK",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "M.S.PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Bowie, MD
• Providers in Bowie, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.