Individual provider Active NPI

Stacy E Corey, DPT

  • Physical Therapist
  • Norton, MA
National Provider Identifier
1255538849
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17932 Issued in MA
Practice address
184 W Main St Ste 102
Norton, MA 02766-1243
Phone
(508) 622-0235
NPI assigned
Jun 28, 2007
Last updated
Oct 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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 17932 MA Primary

Addresses

Primary practice location

184 W Main St Ste 102
Norton, MA 02766-1243

Mailing address

204 Prospect St
South Easton, MA 02375-1409

Other identifiers 1

IdentifierTypeStateIssuer
110100933AOtherMAMH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070817000142 MA Practitioner - Physical Therapist in Private Practice 0648362848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norton Physical Therapy, LLCGroup PAC ID 4183982697, 2 clinicians

Practice addresses (Care Compare)

184 W Main St
Suite 102
Norton, MA 02766-1243
Phone (508) 622-0235

Merit-based Incentive Payment System (MIPS)

Final score
91.02 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17932MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Physical Therapy, LLC Physical Therapist CurrentSince Dec 1, 2017 Accepting new patients
DG Physical Therapy, P.C. PastSince Aug 23, 2020 Accepting new patients
Prescription Orthopedic and Sports Therapy Physical Therapist PastSince Feb 29, 2000 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1255538849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PROSPECT ST",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 W MAIN ST STE 102",
            "city": "NORTON",
            "state": "MA",
            "postal_code": "027661243",
            "telephone_number": "508-622-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREY",
        "first_name": "STACY",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MH",
            "identifier": "110100933A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.