Active NPI
Stacey L Dionne, PT
- Physical Therapist
- Haltom City, TX
National Provider Identifier
1598798175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1064814
- Practice address
- 5000 Western Center Blvd
Ste 220
Haltom City, TX 76137-2197 - Phone
- (817) 514-0519
- Fax
- (817) 514-8861
- NPI assigned
- Jul 8, 2006
- Last updated
- Jul 24, 2019
- 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 | 1064814 | TX | Primary |
Addresses
Primary practice location
5000 Western Center Blvd
Ste 220
Haltom City, TX 76137-2197
Mailing address
5100 W. Eldorado Pkwy #102-20FC
McKinney, TX 75072
Phone (817) 514-0519
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0216970-01 | Medicaid | TX | |
| TXB104690 | Other | TX | MEDICARE B |
Other names 1
- Stacey D Dionne
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Lewisville Therapy Center Inc | Physical Therapist | Past | Accepting new patients |
| Denton Sports & Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Denton, TX
- NPI 1730159468
-
dba Greater Therapy Centers-Arlington
- Physical Therapist
- Arlington, TX
- NPI 1730308594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1598798175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 W. ELDORADO PKWY #102-20FC",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "75072",
"telephone_number": "817-514-0519",
"fax_number": "817-514-8861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 WESTERN CENTER BLVD",
"address_2": "STE 220",
"city": "HALTOM CITY",
"state": "TX",
"postal_code": "761372197",
"telephone_number": "817-514-0519",
"fax_number": "817-514-8861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIONNE",
"first_name": "STACEY",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1064814",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0216970-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "TXB104690",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STACEY",
"last_name": "DIONNE",
"middle_name": "D",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Haltom City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.