Individual provider Active NPI

Stacey Matthews, P.T.

  • Physical Therapist
  • Perry, MI
National Provider Identifier
1073514469
Registry record updated Dec 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
SM010543 Issued in MI
Practice address
3737 Britton Rd
Perry, MI 48872-9716
Phone
(517) 625-0772
Fax
(517) 625-0778
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X SM010543 MI Primary

Addresses

Primary practice location

3737 Britton Rd
Perry, MI 48872-9716

Mailing address

3737 Britton Rd
Perry, MI 48872-9716
Phone (517) 625-0772

Other identifiers 4

IdentifierTypeStateIssuer
P26307FOtherMIBLUE CARE NETWORK MI
0G80003OtherMIBCBS OF MICHIGAN
6400072OtherMIPHP
990503OtherMIHEALTHPLUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820001054 MI Practitioner - Physical Therapist in Private Practice 7012900723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perry Physical Therapy IncGroup PAC ID 8022001726, 2 clinicians

Practice addresses (Care Compare)

3737 Britton Rd
Perry, MI 48872-9716
Phone (517) 625-0772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SM010543MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Physical Therapy Inc Physical Therapist CurrentSince May 1, 2003 Accepting new patients
Exclusive Physical Therapy Inc Physical Therapist PastSince Jan 1, 2004 Accepting new patients
Natural Health Improvement Center PC PastSince May 19, 2008 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765584000000",
    "number": "1073514469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 BRITTON RD",
            "city": "PERRY",
            "state": "MI",
            "postal_code": "488729716",
            "telephone_number": "517-625-0772",
            "fax_number": "517-625-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 BRITTON RD",
            "city": "PERRY",
            "state": "MI",
            "postal_code": "488729716",
            "telephone_number": "517-625-0772",
            "fax_number": "517-625-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "STACEY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "SM010543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK MI",
            "identifier": "P26307F",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0G80003",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "6400072",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "990503",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.