Active NPI
Stacey Michelle Adams, PT
- Physical Therapist
- Spokane Valley, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60116771
- Practice address
- 1215 N McDonald Rd
Suite L2
Spokane Valley, WA 99216-1557 - Phone
- (509) 893-4462
- Fax
- (509) 893-4482
- NPI assigned
- Oct 29, 2007
- Last updated
- Nov 18, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4739 | OR | |
| Physical Therapist | 225100000X | PT60116771 | WA | Primary |
Addresses
Primary practice location
1215 N McDonald Rd
Suite L2
Spokane Valley, WA 99216-1557
Mailing address
1215 N McDonald Rd
Suite L2
Spokane Valley, WA 99216-1557
Phone (509) 893-4462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
626 N Mullan Rd
Suite 4
Spokane Valley, WA 99206-3857
Phone (509) 892-5442
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4739 | OR | MD | Physical Therapist |
| PT60116771 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gordon Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Inland Empire Therapy Associates LLC | Physical Therapist | Current | Accepting new patients |
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Physiotherapy Associates Inc | Past | Accepting new patients |
Locations
501 S Bernard St
Ste 100
Spokane, WA 99204
Phone (509) 701-7651
626 N Mullan Rd
Ste 4
Spokane Valley, WA 99206
Phone (509) 892-5442
Organizations & group practices 4
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
- Spokane Valley, WA
- NPI 1265585335
-
dba Empire Pediatric Therapy
- Occupational Therapist
- Spokane, WA
- NPI 1346630035
Physical Therapist
-
- Physical Therapy Clinic/Center
- Eugene, OR
- NPI 1134158298
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1639358435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 N MCDONALD RD",
"address_2": "SUITE L2",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161557",
"telephone_number": "509-893-4462",
"fax_number": "509-893-4482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 N MCDONALD RD",
"address_2": "SUITE L2",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161557",
"telephone_number": "509-893-4462",
"fax_number": "509-893-4482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "STACEY",
"middle_name": "MICHELLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-29",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "4739",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60116771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.