Donna Stack, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0003428 Issued in DE

Practice address

4709 Kirkwood Hwy
Wilmington, DE 19808-5007

Phone

(302) 998-9880

Fax

(302) 998-7498

NPI assigned

Feb 2, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1174981435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PROFESSIONAL CTR",
            "address_2": "1265 WAYNE AVENUE, SUITE 308",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013586",
            "telephone_number": "724-801-8095",
            "fax_number": "724-801-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085007",
            "telephone_number": "302-998-9880",
            "fax_number": "302-998-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACK",
        "first_name": "DONNA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0003428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Francis Hospital Inc.
• St. Francis Hospital, Inc (Dr. Ronaldo Domingo, MD OBGYN)
• St.Francis Hospital
• Melissa E Stabler, RD,CNSD, MBA
• Stacey Balentine LCSW LLC
• Brianna Stahlberg
• Jocelyn M Staker
• Troy Staker, DPT
• Polixeni Jenny Stamatiadis, LCSW
• John Carter Standish, PHARMD

• Physical Therapist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.