Stacia Akers, PT
Individual provider Active NPI Physical Therapist · Gresham, OR
NPI 1083775845 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083775845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5032 (OR)
- Practice address
- 24800 SE Stark St
Gresham, OR 97030-3378 - Phone
- (503) 413-3879
- Fax
- (503) 413-4379
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5032 | OR | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5032 | OR | Yes |
Addresses
Primary practice location
24800 SE Stark St
Gresham, OR 97030-3378
Mailing address
24800 SE Stark St
Gresham, OR 97030-3378
Phone (503) 413-3879
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.