Nancy W Stanley, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1010 Issued in GA

Practice address

924 Coogan Williams Rd
Vidalia, GA 30474-7059

Phone

(912) 537-0818

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restore Physical Therapy LLCGroup PAC ID 7810247848, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Restore Physical Therapy, LLC

  • Physical Therapist
  • Jesup, GA
  • NPI 1306331756
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659596245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 COOGAN WILLIAMS RD",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304747059",
            "telephone_number": "912-537-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 COOGAN WILLIAMS RD",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304747059",
            "telephone_number": "912-537-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "NANCY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "1010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles M Spivey, MD
• John Casey Spivey, MD
• Carl Leland Stalvey, M.D.
• Kristin Nicole Stanford, PHARMD
• Leann Davis Stanley, M.ED.CCCSLP
• Matthew Jared Staples, MD
• Shannon Lacey Staten, CRNA
• Steven P Hill, MD,PC
• Gillian Josephine Stuart, M.D.
• Hubert McCrary Suber, MD

• Physical Therapist in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Physical Therapist in Georgia

• 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.
• 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.

Verify at the official NPI Registry.