Active NPI
Janelle Stacy, PT
- Physical Therapist
- Pacific City, OR
National Provider Identifier
1144876533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 63398
- Practice address
- 38505 Brooten Rd Ste C
Pacific City, OR 97135-8049 - Phone
- (503) 965-6400
- Fax
- (503) 965-9555
- NPI assigned
- Aug 13, 2019
- Last updated
- Aug 13, 2019
- 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 | 63398 | OR | Primary |
Addresses
Primary practice location
38505 Brooten Rd Ste C
Pacific City, OR 97135-8049
Mailing address
1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-8930
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln City Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Lincoln City, OR
- NPI 1073654166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1144876533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-8930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38505 BROOTEN RD STE C",
"city": "PACIFIC CITY",
"state": "OR",
"postal_code": "971358049",
"telephone_number": "503-965-6400",
"fax_number": "503-965-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACY",
"first_name": "JANELLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-13",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "63398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacific City, OR
- Karin Kallevig
- Luke W Kohley, MSPT
- Julie Ann Krohn
- Heidi Marian Manning, LAC., LMT
- Northwest Medical Foundation of Tillamook (Adventist Health Bayshore Medical Pacific City)
- Shelley Collins Stephens, LMT
- Kerrin Deann Swanson, CPNP-PC
- Albert P Thompson, M.D.
- Myra L Thompson, F.N.P.
- Elisabeth Vitale, LAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.