Stacey L Gill

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00006445 Issued in WA

Practice address

4833 Tumwater Valley Dr SE Ste 150
Tumwater, WA 98501-4583

Phone

(360) 493-4160

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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 and National Provider Directory roles.

• King County Public Hospital District No 2

  dba Booth Gardner Parkinsons Care Center

  • Neuromusculoskeletal Medicine & OMM Physician
  • Kirkland, WA
  • NPI 1801986070
  Medicare reassignment NPD
• Swedish Health Services

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1831139724
  Medicare reassignment NPD
• Washington Luna Care Physical Therapy LLC

  • Physical Therapist
  • Bellevue, WA
  • NPI 1346808052
  Medicare reassignment NPD
• King County Public Hospital District No. 2

  dba EvergreenHealth at Home Physical Therapy

  • Physical Therapist
  • Kirkland, WA
  • NPI 1356920946
  NPD
• Swedish Health Services

  • Physical Therapist
  • Seattle, WA
  • NPI 1619680840
  NPD
• Centralia Physical Therapy Inc PS

  dba Castle Rock Physical Therapy

  • Physical Therapist
  • Centralia, WA
  • NPI 1952666315
  NPD (past)
• Providence Health & Services Washington

  • Rehabilitation Clinic/Center
  • Tumwater, WA
  • NPI 1801989587

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598813198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 TUMWATER VALLEY DR SE STE 150",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014583",
            "telephone_number": "360-493-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 TUMWATER VALLEY DR SE STE 150",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014583",
            "telephone_number": "360-493-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "STACEY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT00006445",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pandy Beth Gibson
• William C Gierach, LAT
• Vince A Gildner Jr., PT
• Anoop Kaur Gill, DDS
• Elizabeth Asuncion Gill
• Douglas Ginter, BSN, RN-BC, MHP
• Genevieve Y Girdner, A.T.C.
• Madelaine Brida Giron
• Ellen Michelle Gish
• Tifanie Lee Gitchell, CDPT

• Physical Therapist in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.