Haley Lynn Stack, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01992400 Issued in NJ

Practice address

602 Route 72 E
Manahawkin, NJ 08050-3538

Phone

(609) 549-5015

NPI assigned

Feb 11, 2021

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Barnegat Sports Rehabilitation and Physical Therapy LLCGroup PAC ID 8628151693, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.61 of 100Reported as group

Quality

81.84

Improvement activities

40

Cost

76.23

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.

• Barnegat Sports Rehabilitation & Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Barnegat, NJ
  • NPI 1477617405

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1316530256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 OXYCOCUS RD",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502939",
            "telephone_number": "609-548-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 ROUTE 72 E",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503538",
            "telephone_number": "609-549-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACK",
        "first_name": "HALEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01992400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Regional School District
• Southern Shore Counseling LLC
• Southern Shores Eye Center, P.a.
• Cynthia L Spallina, PTA
• Darra Lynn Stack, LCSW
• Stafford Convalescent Center, Inc
• Stafford Medical Associates LLC
• Stafford Medical P.a.
• Stafford Medical PA
• Stafford Medical, P.a.

• Physical Therapist in Manahawkin, NJ
• Providers in Manahawkin, 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 Feb 11, 2021; 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.