Active NPI
Stacy McCord, MPT
- Physical Therapist
- Mooresville, IN
National Provider Identifier
1285474254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05005264A
- Practice address
- 235 E High St
Mooresville, IN 46158-1639 - Phone
- (317) 371-8180
- NPI assigned
- May 28, 2024
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 05005264A | IN | Primary |
Addresses
Primary practice location
235 E High St
Mooresville, IN 46158-1639
Mailing address
235 E High St
Mooresville, IN 46158-1639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05005264A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
235 E High St
Mooresville, IN 46158
Phone (317) 371-8180
235 E High St
Unit 14
Mooresville, IN 46158
Interoperability endpoints
- https://api.platform.athenahealth.com/25627/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1285474254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 E HIGH ST",
"city": "MOORESVILLE",
"state": "IN",
"postal_code": "461581639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 E HIGH ST",
"city": "MOORESVILLE",
"state": "IN",
"postal_code": "461581639",
"telephone_number": "317-371-8180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORD",
"first_name": "STACY",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-28",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05005264A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.