Individual provider Active NPI

Stacey Renee Hunter, P.T.

  • Physical Therapist
  • Antioch, TN
National Provider Identifier
1659690964
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7902 Issued in TN
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

Updated by the provider on May 26, 2010

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 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

IdentifierTypeStateIssuer
7902OtherTNSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914000526 TN Practitioner - Physical Therapist in Private Practice 4789709734 Reassigns benefits to 2 organizations

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
Paxxon Healthcare Services LLCGroup PAC ID 8325959554, 153 clinicians

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

LicenseStateTypeSpecialty
7902TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Feb 22, 2016 Accepting new patients
The Weston Group of Tennessee Inc Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Feb 22, 2016 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.

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.

Verify at the official NPI Registry.