Stacey Lynn Newell, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11664R Issued in LA

Practice address

2965 Gause Blvd E
Slidell, LA 70461-4154

Phone

(985) 641-2996

Fax

(985) 259-4500

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

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

• Physiofit Louisiana LLC

  • Physical Therapist
  • Slidell, LA
  • NPI 1376180620
  Medicare reassignment NPD
• Sports Medicine LTD

  • Physical Therapist
  • Pass Christian, MS
  • NPI 1184652737
  NPD (past)
• Wellness Physical Therapy of Diamondhead

  dba Wellness PT of Diamondhead

  • Physical Therapy Clinic/Center
  • Pass Christian, MS
  • NPI 1598001307

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1497892905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 GAUSE BLVD E",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614154",
            "telephone_number": "985-641-2996",
            "fax_number": "985-259-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1053 Tina Ladner Vic Faye Rd",
            "address_purpose": "LOCATION",
            "city": "Pass Christian",
            "state": "MS",
            "postal_code": "395718920",
            "country_code": "US",
            "telephone_number": "228-255-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4071",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11664R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurovana Psychotherapy, LLC
• New Age Social Services
• New Orleans Vamc
• Warren Joseph Newby III
• James Howard Newcomb Jr., M.D.
• Patricia Lee Newman, LCSW
• Newton's Transportation
• Next Level Nemt LLC
• My-Huyen Ngo
• Nguyen Internal Medicine, LLC

• Physical Therapist in Slidell, LA
• Providers in Slidell, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.