Stacy Ann Koscinski, MSPT

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

1144210 Issued in TX

Practice address

4009 Bellaire Blvd
Suite M
Houston, TX 77025-1168

Phone

(713) 669-0042

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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 and National Provider Directory roles.

• Action Therapy Centers Limited

  • Rehabilitation Clinic/Center
  • Houston, TX
  • NPI 1336172931
  NPD (past)
• Dee Physical Therapy Services PLC

  • Physical Therapist
  • South Burlington, VT
  • NPI 1083773436
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1174576128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12727 KIMBERLEY LN",
            "address_2": "STE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244047",
            "telephone_number": "713-365-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 BELLAIRE BLVD",
            "address_2": "SUITE M",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251168",
            "telephone_number": "713-669-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCINSKI",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TX",
            "license": "1144210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1144210",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK NUMBER",
            "identifier": "1046077",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glory Korubo
• Kalina Qiu Ju Korzec, PHARMD
• Ognjen Kosarac, M.D.
• Una Kosarac, MD
• Nitish Kosaraju, M.D.
• Robert W Koshman, MD
• Deepa Ajay Koshti, M.D.
• Andrew C Koshy
• Angalie Ann Koshy, OD
• Anson Koshy, M.D.; M.B.E.

• Neurology Physical Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Neurology Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.