Active NPI
Stacy L Gore, DPT
- Physical Therapist
- Newburgh, IN
National Provider Identifier
1477489177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05010574A
- Practice address
- 4011 Gateway Blvd
Newburgh, IN 47630-8947 - Phone
- (812) 450-3353
- NPI assigned
- Jun 20, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05010574A | IN | Primary |
Addresses
Primary practice location
4011 Gateway Blvd
Newburgh, IN 47630-8947
Mailing address
7799 Owens Dr
Newburgh, IN 47630-2626
Phone (812) 491-3856
Other practice location 1
600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781913600000",
"number": "1477489177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7799 OWENS DR",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476302626",
"telephone_number": "812-491-3856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 GATEWAY BLVD",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308947",
"telephone_number": "812-450-3353"
}
],
"practiceLocations": [
{
"address_1": "600 Mary St",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477101658",
"country_code": "US",
"telephone_number": "812-450-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORE",
"first_name": "STACY",
"middle_name": "L",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-20",
"last_updated": "2026-06-20",
"certification_date": "2026-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05010574A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.