Stacey Reid, P.T.

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

3120 Issued in NC

Practice address

5301 Creedmoor Rd
Raleigh, NC 27612-3822

Phone

(919) 861-7834

NPI assigned

May 4, 2012

Last updated

May 4, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• At Home Therapy Franchising, LLC

  • Physical Therapist
  • Wrightsville Beach, NC
  • NPI 1922639939

  Geriatrics

  Medicare reassignment NPD

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1326307844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 CRAB CREEK DR",
            "address_2": "SUITE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123812",
            "telephone_number": "919-720-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 CREEDMOOR RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123822",
            "telephone_number": "919-861-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "STACEY",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NC",
            "license": "3120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Reid, FNP
• Makayla Reid
• Megan Ashley Reid
• Rebecca S. Reid, MAED., LPC, NCC, NLP
• Sarah Dunbar Reid, PT, DPT
• Stephanie Rae Reid, MA CCC-SLP
• Rosellen Reif, LPCA, CRC, QP
• Nancy Ann Reifsteck, OTR/L
• Jaycee Ann Reilly, RD
• Kim Marie Reilly, M.D.

• Geriatric Physical Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Geriatric Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.