Individual provider Active NPI

Stacia Laine Robinson, DPT

  • Physical Therapist
  • Lynden, WA
National Provider Identifier
1225439532
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60502552 Issued in WA
Practice address
8862 Bender Rd
Ste 101
Lynden, WA 98264-8800
Phone
(360) 354-1115
Fax
(360) 354-0321
NPI assigned
Sep 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501016929 MI
Physical Therapist 225100000X PT60502552 WA Primary

Addresses

Primary practice location

8862 Bender Rd
Ste 101
Lynden, WA 98264-8800

Mailing address

8862 Bender Rd
Ste 101
Lynden, WA 98264-8800
Phone (509) 540-4657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624000448 FL Practitioner - Physical Therapist in Private Practice 5698099760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Center for Bone and Joint Disease, PA.Group PAC ID 1759276488, 33 clinicians

Practice addresses (Care Compare)

7544 Jacque Rd
Hudson, FL 34667-7162
Phone (727) 697-2200

Merit-based Incentive Payment System (MIPS)

Final score
80.53 of 100Reported as group
Quality
63.31
Promoting interoperability
96
Improvement activities
40
Cost
69.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501016929MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Bone and Joint Disease, PA Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients
The Center for Bone and Joint Disease, PA CurrentSince Mar 1, 2024 Accepting new patients

Locations

7544 Jacque Rd
Hudson, FL 34667
Phone (727) 697-2200

Interoperability endpoints

  • Direct secure messaging: stacia.robinson@centerforboneandjoint.directbygreenway.com

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": "1410048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1225439532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8862 BENDER RD",
            "address_2": "STE 101",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982648800",
            "telephone_number": "509-540-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8862 BENDER RD",
            "address_2": "STE 101",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982648800",
            "telephone_number": "360-354-1115",
            "fax_number": "360-354-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "STACIA",
        "middle_name": "LAINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-07",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016929",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60502552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynden, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.