Active NPI
Stacy Lynn Hulsey-Brown, PT
- Physical Therapy Clinic/Center
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 1116895
- Practice address
- 4025 Woodland Park Blvd Ste 120
Arlington, TX 76013-4301 - Phone
- (817) 792-2030
- Fax
- (817) 792-2031
- NPI assigned
- Feb 5, 2021
- Last updated
- Jun 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Clinic/Center | 261QP2000X | 1116895 | TX | Primary |
Addresses
Primary practice location
4025 Woodland Park Blvd Ste 120
Arlington, TX 76013-4301
Mailing address
4025 Woodland Park Blvd Ste 120
Arlington, TX 76013-4301
Phone (817) 792-2030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1116895 | Other | TX | PT LICENSE |
Other names 1
- Mrs. Stacy Lynn Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2310 W I
20 Suite 204
Arlington, TX 76017-1678
Phone 81746672765
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Classic Hospice LLC | Current | Accepting new patients | |
| SLH Health Corp | Current | Accepting new patients |
Locations
4025 Woodland Park Blvd
Ste 120
Arlington, TX 76013
Phone (817) 792-2030
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Classic Home Care | Home health agency | 5% Or Greater Direct Ownership Interest (100%) Corporate Officer (100%) Corporate Director (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Dec 4, 2009 Mar 29, 2009 Dec 4, 2009 Dec 4, 2009 Mar 29, 2009 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Classic Home Care
- Home Health Agency
- Arlington, TX
- NPI 1699900498
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
Organizations & group practices 4
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
- Arlington, TX
- NPI 1063422707
-
dba Classic Hospice & Senior Care
- Community Based Hospice Care Agency
- Arlington, TX
- NPI 1578931135
-
dba Classic Transportation
- Non-emergency Medical Transport (VAN)
- Arlington, TX
- NPI 1669900163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1245822824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4025 WOODLAND PARK BLVD STE 120",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760134301",
"telephone_number": "817-792-2030",
"fax_number": "817-792-2031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 WOODLAND PARK BLVD STE 120",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760134301",
"telephone_number": "817-792-2030",
"fax_number": "817-792-2031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULSEY-BROWN",
"first_name": "STACY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-05",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "TX",
"license": "1116895",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "1116895",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STACY",
"last_name": "BROWN",
"middle_name": "LYNN",
"prefix": "MRS.",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.