Stacey Hengst, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00773300 Issued in NJ

Practice address

200 Bowman Dr Ste E104
Voorhees, NJ 08043-9623

Phone

(856) 282-0337

Fax

(856) 809-2142

NPI assigned

Dec 29, 2006

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

Other identifiers 2

Other names 1

• Stacey Sheehan Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274
  Medicare reassignment Care Compare group NPD
• Ivyrehab Network Inc

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1861623753
  NPD
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cranford, NJ
  • NPI 1699590265

  Physical Therapist

  NPD
• Cross Keys Physical Therapy Sports Medical Center, Inc

  • Physical Therapist
  • Turnersville, NJ
  • NPI 1528128600
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1285790709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-580-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOWMAN DR STE E104",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439623",
            "telephone_number": "856-282-0337",
            "fax_number": "856-809-2142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 N Black Horse Pike",
            "address_purpose": "LOCATION",
            "city": "Williamstown",
            "state": "NJ",
            "postal_code": "080942840",
            "country_code": "US",
            "telephone_number": "856-728-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Harper Dr",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573208",
            "country_code": "US",
            "telephone_number": "856-552-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENGST",
        "first_name": "STACEY",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00773300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2412770000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR",
            "identifier": "3637222000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "SHEEHAN",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marie Hegeman, PA
• Alexandra Heinkel, DPT
• Jennifer Helmrich
• Hemangini Mehta
• Jeanne Hendricks, RD
• Robert James Henkel Sr.
• Teara Henry-Brown, CRNA
• Glenn Herman, M.D.
• Todd G Hermann, MD
• Blair Hermansky, CORT

• Physical Therapist in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Physical Therapist in New Jersey

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