Stacey Sheree King, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1858 Issued in TN

Practice address

300 Clinchfield St Ste 320
Kingsport, TN 37660-3856

Phone

(423) 251-4742

NPI assigned

Apr 2, 2007

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 TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ribbons Physical Therapy, LLCGroup PAC ID 9032549514, 3 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Ribbons Physical Therapy, LLC

  • Physical Therapist
  • Kingsport, TN
  • NPI 1528607793
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1386765022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CLINCHFIELD ST STE 320",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603856",
            "telephone_number": "423-251-4742",
            "fax_number": "423-251-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CLINCHFIELD ST STE 320",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603856",
            "telephone_number": "423-251-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "STACEY",
        "middle_name": "SHEREE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "1858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sue Kimes, RN
• Adrienne Kincaid, PHARM.D.
• Tatum L. Kinder, D.D.S.
• Drew Steven Kindle, DPT
• Matthew Bronson King
• Thomas P King, DDS MS
• Wanda King
• Kingsport Adult Day Care
• Kingsport Ambulatory Surgery Ctr
• Kingsport Anesthesia Associates LLC

• Physical Therapist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.