NPIMap

Individual provider Active NPI

Staci Leanne Ames, PT

  • Physical Therapist
  • Highland Heights, KY
National Provider Identifier
1427212232
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008510 Issued in KY
Practice address
2626 Alexandria Pike
Highland Heights, KY 41076-1530
Phone
(859) 301-2663
NPI assigned
Jul 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 23682 CA
Physical Therapist 225100000X PT008510 KY Primary

Addresses

Primary practice location

2626 Alexandria Pike
Highland Heights, KY 41076-1530

Mailing address

560 S Loop Rd
Edgewood, KY 41017-3405
Phone (859) 817-3599

Other practice location 1

511 W Visalia Rd
Exeter, CA 93221-1019
Phone (559) 592-7117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180719002277 CA Practitioner - Physical Therapist in Private Practice 6002163250 Reassigns benefits to 1 organization
I20221119000515 KY Practitioner - Physical Therapist in Private Practice 6002163250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthocincy Orthopaedics and Sports Medicine PSC 163 clinicians

Practice addresses (Care Compare)

2626 Alexandria Pike
Suite 100
Highland Heights, KY 41076-1530
Phone (859) 301-2663

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
PT 23682CAMDPhysical Therapist
PT008510KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vance Physical Therapy and Wellness Inc CurrentSince May 25, 2018 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Physical Therapist CurrentSince Oct 3, 2022 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Physical Therapist CurrentSince Oct 3, 2022 Accepting new patients

Locations

511 W Visalia Rd
Exeter, CA 93221
Phone (559) 592-7117

560 S Loop Rd
Edgewood, KY 41017
Phone (859) 817-3599

2626 Alexandria Pike
Highland Heights, KY 41076
Phone (859) 757-0434

2626 Alexandria Pike
Ste 100
Highland Heights, KY 41076
Phone (859) 817-3599

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1427212232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S LOOP RD",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173405",
            "telephone_number": "859-817-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 ALEXANDRIA PIKE",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "410761530",
            "telephone_number": "859-301-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 W Visalia Rd",
            "address_purpose": "LOCATION",
            "city": "Exeter",
            "state": "CA",
            "postal_code": "932211019",
            "country_code": "US",
            "telephone_number": "559-592-7117",
            "fax_number": "559-592-7112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMES",
        "first_name": "STACI",
        "middle_name": "LEANNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 23682",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT008510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Heights, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.