Individual provider Active NPI

Stacy Ann Glass, PHYSICAL THERAPIST

  • Physical Therapist
  • Nashville, NC
National Provider Identifier
1174512834
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22141 Issued in NC
Practice address
627 E Washington St
Nashville, NC 27856-1737
Phone
(252) 459-5565
NPI assigned
Oct 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 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 P22141 NC Primary

Addresses

Primary practice location

627 E Washington St
Nashville, NC 27856-1737

Mailing address

627 E Washington St
Nashville, NC 27856-1737
Phone (252) 459-5565

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

State licenses

LicenseStateTypeSpecialty
P22141NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cip Rehabilitation Inc Physical Therapist CurrentSince Nov 22, 2022 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Mar 24, 2014 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

345 Maplewood Ave
Ambridge, PA 15003
Phone (724) 266-9626

64 Ridgway Dr
#1
Dallas, PA 18612
Phone (570) 255-4578

470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800

425 Technology Dr
Malvern, PA 19355
Phone (610) 251-0801

1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322

Organizations & group practices 2

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1174512834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 E WASHINGTON ST",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561737",
            "telephone_number": "252-459-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 E WASHINGTON ST",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561737",
            "telephone_number": "252-459-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.