Individual provider Active NPI

Stacey L Dionne, PT

  • Physical Therapist
  • Haltom City, TX
National Provider Identifier
1598798175
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1064814 Issued in TX
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0216970-01MedicaidTX
TXB104690OtherTXMEDICARE B

Other names 1

  • Stacey D Dionne Former name

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

OrganizationSpecialtyStatusNew patients
Greater Lewisville Therapy Center Inc Physical Therapist Past Accepting new patients
Denton Sports & Physical Therapy Physical Therapist PastSince Apr 18, 2010 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.

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.

Verify at the official NPI Registry.