Active NPI
Stacey Renee Hunter, P.T.
- Physical Therapist
- Antioch, TN
National Provider Identifier
1659690964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7902
- Practice address
- 5801 Crossings Blvd
Antioch, TN 37013-3130 - Phone
- (615) 941-8501
- Fax
- (615) 941-8102
- NPI assigned
- May 26, 2010
- 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 | 7902 | TN | Primary |
Addresses
Primary practice location
5801 Crossings Blvd
Antioch, TN 37013-3130
Mailing address
5801 Crossings Blvd
Antioch, TN 37013-3130
Phone (615) 941-8501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7902 | Other | TN | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
195 Indian Lake Blvd
Hendersonville, TN 37075-6448
Phone (615) 418-6989
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7902 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
| The Weston Group of Tennessee Inc | Physical Therapist | Current | Accepting new patients |
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Hendersonville, TN
- NPI 1053698530
-
- Physical Therapist
- Hixson, TN
- NPI 1467866848
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1336808146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1659690964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 CROSSINGS BLVD",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370133130",
"telephone_number": "615-941-8501",
"fax_number": "615-941-8102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 CROSSINGS BLVD",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370133130",
"telephone_number": "615-941-8501",
"fax_number": "615-941-8102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "STACEY",
"middle_name": "RENEE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-26",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "7902",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "7902",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.